Individual
RICHARD A. BAGBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
183 HOSPITAL RD, STE G, WINCHESTER, TN 37398-2470
(931) 962-2272
(931) 962-8588
Mailing address
183 HOSPITAL RD, STE G, WINCHESTER, TN 37398-2470
(931) 962-2272
(931) 967-8119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MDO11925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009891
BLUE CROSS
—
05
—
2009891
—
TN
01
—
407202037
RAILROAD MEDICARE
—
01
—
621117715
AMERICHOICE TENNCARE
TN
Enumeration date
08/31/2005
Last updated
09/04/2015
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