Individual
CARLY MORGAN BAILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
351 NEW DARLINGTON RD, MEDIA, PA 19063-5609
(610) 772-6641
Mailing address
351 NEW DARLINGTON RD, MEDIA, PA 19063-5609
(610) 772-6641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86167924
PA
Other
Enumeration date
09/15/2025
Last updated
10/24/2025
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