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James R Bailes Jr., MD

Pediatrics in Huntington, WV. Individual provider (NPI-1).

NPI number1891759031
StatusActive
Last updated in NPPESFeb 25, 2022

Details

NPI
1891759031
Entity type
Individual (NPI-1)
Name
James R Bailes Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2006
Certification date
Feb 25, 2022
Last updated
Feb 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics17593WVYes

Practice location

1115 20th St Ste 105
Huntington, WV 25703-2071

Phone 304-399-4141 · Fax 304-399-4145

Mailing address

1340 Hal Greer Boulevard
Attn: Tammie Silva
Huntington, WV 25701-3800

Phone 304-526-2053

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