Whalio Doctors

NPI 1639541162

Anthony Bailes, LAC

Practitioner Acupuncturist Myrtle Beach, SC

Practice location

Address
1110 London St Suite 105, Myrtle Beach, SC 29577-5799
Phone
(843) 742-6040
Mailing address
684 Lalton Dr, Conway, SC 29526-7872

Registered specialties

Acupuncturist Primary
Other Service Providers Taxonomy 171100000X Licence 245 (SC)

Registry record

NPI
1639541162
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Oct 2015
Record last updated
17 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.