Individual
JOUSHUA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615
(864) 797-6306
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58.007218
OHIO TRAINING LICENSE
OH
Enumeration date
03/25/2015
Last updated
06/27/2018
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