Individual
ROBERT G BAYLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3882 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 872-6290
(228) 762-0065
Mailing address
PO BOX 1684, PASCAGOULA, MS 39568-1684
(228) 762-9080
(228) 762-0065
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R111550
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009994045
ALACAID
MS
05
—
0122898
—
MS
01
—
16904200
USDOL
MS
01
—
430072663
MEDICARE RAILROAD
MS
01
—
587210340C
BLUECROSS
MS
Enumeration date
08/30/2006
Last updated
05/20/2008
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