Provider Demographics
NPI:1801389572
Name:BAILEY, VICTORIA MERONEY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:MERONEY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:A
Other - Last Name:MERONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3010 FAIRVIEW TOWNES CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3031
Mailing Address - Country:US
Mailing Address - Phone:225-247-4833
Mailing Address - Fax:
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA308909363A00000X
NC0010-15479363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant