Individual
JOSEPH C BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2428 KNOB CREEK ROAD, SUITE 201, JOHNSON CITY, TN 37604
(423) 282-5054
(423) 230-5097
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660
(423) 230-5000
(423) 230-5097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38534
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010087210
—
VA
01
—
139835
ANTHEM
VA
05
—
3894082
—
TN
01
—
4087319
BCBS
TN
05
—
5900865
—
NC
01
—
TN0108
JDH
—
Enumeration date
09/28/2006
Last updated
04/08/2013
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