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DR. PHILIP BATES BAILEY M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1366438905

Individual Registrant:
DR. PHILIP BATES BAILEY M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1436 BROADRICK DR SUITE B DALTON, GA 30720-3009 US
Tel: 706-226-3434  Fax: 706-226-4820

Contact information for business:
PO BOX 1587  DALTON, GA 30722-1587 US
Tel: 706-226-3434  Fax: 706-226-4820

Registration Information:
NPI: 1366438905
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
GA15349
N174400000XOther Service Providers
Specialist
TN12704

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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