Individual
EDWARD BAINES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 SIGNATURE WAY, HAMPTON, VA 23666-5966
(757) 723-3549
(757) 723-2229
Mailing address
760 MCGUIRE PL 1, NEWPORT NEWS, VA 23601-1630
(757) 596-2762
(757) 595-2001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101044956
VA
Other
Enumeration date
04/14/2006
Last updated
11/20/2015
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