Organization
CRBAILEY MEDICAL LLC
Active
Other names
Lifestyle Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R BAILEY MD (OWNER)
(256) 393-1713
Entity
Organization
Contact information
Practice address
105 CHURCH ST, RAINBOW CITY, AL 35906-6242
(256) 393-1713
(256) 467-3023
Mailing address
3519 KINGSHILL RD, MOUNTAIN BRK, AL 35223-1470
(256) 393-1713
(256) 467-3023
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750609350
NPI
AL
Enumeration date
10/15/2018
Last updated
10/15/2018
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