Organization
BAILLIARD HENRY PEDIATRIC CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE BAILLIARD MD, MS (MANAGING PARTNER)
(919) 890-5566
Entity
Organization
Contact information
Practice address
4301 LAKE BOONE TRAIL, SUITE 300, RALEIGH, NC 27607
(919) 890-5566
(919) 896-7497
Mailing address
4301 LAKE BOONE TRAIL, SUITE 300, RALEIGH, NC 27607
(919) 890-5566
(919) 896-7497
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
21793
NC
Other
Enumeration date
07/06/2012
Last updated
02/22/2018
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