Provider Demographics
NPI:1518725977
Name:TOULSON, BAILEY STEWART
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:STEWART
Last Name:TOULSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 RIBAUT RD STE 360
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5427
Mailing Address - Country:US
Mailing Address - Phone:843-524-8171
Mailing Address - Fax:
Practice Address - Street 1:989 RIBAUT RD STE 360
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5427
Practice Address - Country:US
Practice Address - Phone:843-524-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical