Individual
CLAY JACKSON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 WEAVER ST, MORGANTOWN, WV 26505-5110
(304) 692-4167
Mailing address
116 LEGACY DR, MORGANTOWN, WV 26508-4273
(304) 692-4167
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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