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Individual

DR. THOMAS RICHARD BAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9133
(803) 632-3311
(803) 632-9815
Mailing address
PO BOX 218, FAIRFAX, SC 29827-0218
(803) 632-3311
(803) 632-9815

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
054544
GA
207P00000X
Emergency Medicine Physician
23245
SC
207Q00000X
Family Medicine Physician
Primary
54544
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
710752940A
GA
Enumeration date
10/03/2006
Last updated
11/12/2021
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