Individual
DR. PETER A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3799 12TH STREET EXT STE 105, CAYCE, SC 29033-3750
(803) 926-6820
(803) 926-6821
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38207
SC
Other
Enumeration date
06/16/2015
Last updated
10/13/2020
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