Preston F. Bailey III, ED. S.
Individual provider Active NPI Specialist · Chesnee, SC
NPI 1740625110 · NPPES record last updated Apr 30, 2013
Key facts
- NPI
- 1740625110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 3231 Old Furnace Rd
Chesnee, SC 29323-9639 - Phone
- (864) 578-0128
- Fax
- (864) 515-5158
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SC | Yes |
Addresses
Primary practice location
3231 Old Furnace Rd
Chesnee, SC 29323-9639
Mailing address
3231 Old Furnace Rd
Chesnee, SC 29323-9639
Phone (864) 578-0128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684910 | Medicaid | SC |
Other providers in Chesnee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.