Healthcare Provider Details

I. General information

NPI: 1174442396
Provider Name (Legal Business Name): STUART BAILEY MBBS,BSC,MPHIL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9228 MEDICAL PLAZA DR
CHARLESTON SC
29406-9125
US

IV. Provider business mailing address

1217 COPPER PENNY CT
MOUNT PLEASANT SC
29466-7429
US

V. Phone/Fax

Practice location:
  • Phone: 843-574-5693
  • Fax:
Mailing address:
  • Phone: 854-858-2755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberLL97659
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: