Individual
CAROLINE M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 BISHOP GADSDEN WAY, SUITE 97, CHARLESTON, SC 29412-3506
(843) 406-2362
(843) 406-2364
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
328
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824PA
—
SC
Enumeration date
06/08/2006
Last updated
11/12/2020
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