Provider Demographics
NPI:1235564758
Name:HALTON-BAILEY, BARBARA JO (TVI)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JO
Last Name:HALTON-BAILEY
Suffix:
Gender:F
Credentials:TVI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 OLD BELL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-2792
Mailing Address - Country:US
Mailing Address - Phone:704-564-2002
Mailing Address - Fax:
Practice Address - Street 1:231 OLD BELL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-2792
Practice Address - Country:US
Practice Address - Phone:704-564-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist