Bailey, Carl Thomas

Bailey, Carl Thomas is an sole proprietor health care provider with primary practice located at 213 E Butler Rd Suite B2, Mauldin SC 29662-2171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bailey, Carl Thomas can be contacted via phone (864) 458-3035.

Contact Information

Primary practice address
213 E Butler Rd Suite B2 Mauldin SC 29662-2171
Fax: (864) 458-3505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19161 South Carolina

Profile Details

NPI number 1164438792
LBN Legal business name Bailey, Carl Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Apr 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164438792 NPPES
South Carolina MEDICAID 191615

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