Individual
FERNANDO BAYO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 SMITH ST, LAGRANGE, GA 30240-2755
(706) 882-9272
Mailing address
208 SMITH ST, LAGRANGE, GA 30240-2755
(706) 882-9272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18889AL
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000029652
—
AL
Enumeration date
02/15/2006
Last updated
07/21/2022
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