Individual
BAILEY STEPHANIE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 MAGNOLIA ST # 4C, GREENSBORO, NC 27401-1309
(336) 832-3200
Mailing address
5841 S MARYLAND AVE, MC6040, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125066626
IL
208600000X
Surgery Physician
Primary
2025-01612
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2025-01612
NC
390200000X
Student in an Organized Health Care Education/Training Program
RTL22-0555
NC
Other
Enumeration date
05/28/2015
Last updated
07/10/2025
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