Baillie, Earle Eugene

Baillie, Earle Eugene is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Baillie, Earle Eugene can be contacted via phone (800) 779-4858.

Contact Information

Primary practice address
800 N Fant St Anderson SC 29621-5708
Fax: (864) 231-6448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 7122 South Carolina

Profile Details

NPI number 1497727457
LBN Legal business name Baillie, Earle Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 8th, 2007 - about 17 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 1497727457 NPPES
Georgia MEDICAID 00180683A
Georgia MEDICAID 071228

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