Provider Demographics
NPI:1902886286
Name:BAIO, CHARLES J (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:J
Last Name:BAIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7015
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27895
Mailing Address - Country:US
Mailing Address - Phone:252-399-0737
Mailing Address - Fax:252-399-0747
Practice Address - Street 1:200 GLENDALE DRIVE
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893
Practice Address - Country:US
Practice Address - Phone:252-399-0737
Practice Address - Fax:252-399-0747
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC30125207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12668OtherBLUE CROSS
NC8912668Medicaid
NC8912668Medicaid
C82673Medicare UPIN