Organization
ROGER D. BAILEY DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER D. BAILEY D.C. (OWNER)
(931) 424-3331
Entity
Organization
Contact information
Practice address
1119 E COLLEGE ST, SUITE 4, PULASKI, TN 38478-4563
(931) 424-3331
(931) 363-9777
Mailing address
1119 E COLLEGE ST, SUITE 4, PULASKI, TN 38478-4563
(931) 424-3331
(931) 363-9777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4053304
BCBS
TN
01
—
6143906
CIGNA HEALTHCARE
TN
01
—
DF6318
RAILROAD MEDICARE
TN
Enumeration date
06/14/2007
Last updated
08/22/2020
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