Bailey, John Russell

Bailey, John Russell is an individual health care provider with primary practice located at 125 Queens Rd Ste 200 , Charlotte NC 28204-3578. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bailey, John Russell can be contacted via phone (704) 343-9800.

Contact Information

Primary practice address
125 Queens Rd Ste 200 Charlotte NC 28204-3578
Phone: (704) 343-9800
Fax: (704) 347-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35578 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35578 North Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35578 North Carolina

Profile Details

NPI number 1891793121
LBN Legal business name Bailey, John Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 21st, 2023 - about 3 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 1891793121 NPPES
South Carolina MEDICAID N3578
South Carolina MEDICAID 7912610

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