NPI 1639541162
Anthony Bailes, LAC
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
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.