Individual
MRS. CAROLYN MAY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO FACOFP
Contact information
Practice address
1625 S ALEX RD, WEST CARROLLTON, OH 45449-5404
(937) 865-0534
(937) 865-0721
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001443
OH
208D00000X
General Practice Physician
34001443
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022354
ANTHEM
OH
01
—
0120385
UNITED HEALTHCARE
—
05
—
0370638
—
OH
Enumeration date
08/23/2005
Last updated
09/12/2014
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