Individual
JAIME RENA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404
(423) 495-7404
(423) 495-2625
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-3188
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41467
KY
207Q00000X
Family Medicine Physician
Primary
48393
TN
208M00000X
Hospitalist Physician
48393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100046360
—
KY
Enumeration date
12/21/2007
Last updated
01/18/2019
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