MEDICARE: BAILEY LOUISE AVILA-VALDES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MMD.97023	SC

General Provider Information

NPI Number	:	1659122208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY LOUISE AVILA-VALDES MD

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	407-968-7165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	05/29/2026

Similar Medicare Providers

1932030400 — ABBIE BOWMAN
Practice Location Address:

169 ASHLEY AVENUE , ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-4500
Practice Fax:

1982535019 — JOHN PAUL MADER MD
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-876-1344
Practice Fax:

1821929969 — STEPHANIE GLORIA DILUCIA MD, PHD
Practice Location Address:

171 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-3222
Practice Fax:

1689505588 — HANNAH MARIE MCCOY MD
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-876-7081
Practice Fax:

1932031697 — NICHOLAS JACKSON BAIN MD
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-876-7080
Practice Fax:

1205768918 — LAUREN DIGIOVANNI DO
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-876-7080
Practice Fax:

Directions to “ BAILEY LOUISE AVILA-VALDES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.