Individual
JOANNA DIANE BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,I,
Contact information
Practice address
878 LAKELAND DR, JACKSON, MS 39216-4644
(601) 984-6800
(601) 984-6811
Mailing address
PO BOX 4999, JACKSON, MS 39296-4999
(601) 984-5426
(601) 984-6889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-2402
MS
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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