Individual
CHRISTOPHER BAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CURTISS RD, BARKSDALE AFB, LA 71110-2425
(318) 456-6555
Mailing address
435 ALLISON CIR, ANDERSON, SC 29625-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38337
SC
207Q00000X
Family Medicine Physician
Primary
LL38337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578945010
—
SC
Enumeration date
06/21/2015
Last updated
09/27/2018
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