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Individual

JAMES R BAILES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1115 20TH ST STE 105, HUNTINGTON, WV 25703-2071
(304) 399-4141
(304) 399-4145
Mailing address
1340 HAL GREER BOULEVARD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2053

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17593
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108955000
WV
05
0921346
OH
Enumeration date
04/14/2006
Last updated
02/25/2022
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