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DR. PHILIP BATES BAILEY M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1366438905
Individual Registrant:DR. PHILIP BATES BAILEY M.D.
Gender: M
Not Sole Proprietor
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
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
Tel: 706-226-3434 Fax: 706-226-4820
Registration Information:
NPI: 1366438905
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | GA | 15349 |
| N | 174400000X | Other Service Providers Specialist | TN | 12704 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
