Organization
DR. JASON S. BAILEY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON S BAILEY (OWNER)
(843) 521-2020
Entity
Organization
Contact information
Practice address
33 KEMMERLIN LANE, BEAUFORT, SC 29907-2702
(843) 521-2020
(843) 524-7559
Mailing address
33 KEMMERLIN LANE, BEAUFORT, SC 29907-2702
(843) 521-2020
(843) 524-7559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC1322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00298650
RAILROAD MEDICARE
SC
Enumeration date
11/30/2007
Last updated
04/24/2009
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