Individual
MARY J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Mailing address
97 GREAT TEAYS BLVD, SUITE 6, SCOTT DEPOT, WV 25560-9815
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22597
WV
208000000X
Pediatrics Physician
41101
KY
208000000X
Pediatrics Physician
TP232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22597
LICENSE
WV
05
—
2748389
—
OH
05
—
3810009259
—
WV
05
—
7100017680
—
KY
01
—
TP232
LICENSE
KY
Enumeration date
04/24/2007
Last updated
01/30/2026
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