Individual
MARION THOMAS BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 LINDSEY LN, KINGSLAND, GA 31548-6835
(912) 882-8018
(912) 510-6035
Mailing address
130 N GROSS RD, STE 201, KINGSLAND, GA 31548-6277
(912) 729-2795
(912) 729-4117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010467
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361790638A
—
GA
Enumeration date
05/05/2006
Last updated
12/17/2019
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