Individual
PHYLLIS ARMSTEAD BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
009900755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327877
—
SC
05
—
89130RR
—
NC
Enumeration date
12/29/2006
Last updated
05/25/2022
Update your record
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