Individual
ANTHONY BAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1110 LONDON ST, SUITE 105, MYRTLE BEACH, SC 29577-5799
(843) 742-6040
Mailing address
684 LALTON DR, CONWAY, SC 29526-7872
(512) 569-2398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
245
SC
Other
Enumeration date
10/23/2015
Last updated
10/17/2016
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