Anthony Bailes, LAC

NPI 1639541162 · on the registry since 2015 · sole proprietor

Practice

Address: 1110 London St
Suite 105
Myrtle Beach, SC 29577
Phone: (843) 742-6040
Organisation at this address: J & S Senior Services Llc
Coastal Carolina Infectious Disease, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina