Healthcare Provider Details

I. General information

NPI: 1285567370
Provider Name (Legal Business Name): BAILEY G. E. FITCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 OAKHURST DR
NORTH AUGUSTA SC
29860-9722
US

IV. Provider business mailing address

116 OAKHURST DR
NORTH AUGUSTA SC
29860-9722
US

V. Phone/Fax

Practice location:
  • Phone: 803-530-5066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number255797
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: