Individual
DR. RONALD WESLEY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MOUNTAIN HOME AFB MEDICAL GROUP, 90 HOPE DRIVE, BUILDING 6000, MOUNTAIN HOME AFB, ID 83648
(208) 828-7815
Mailing address
708 MICHAELS CRK, EVANS, GA 30809-4042
(706) 868-0972
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2000-00713
NC
2085R0202X
Diagnostic Radiology Physician
Primary
66563
GA
208D00000X
General Practice Physician
66563
GA
Other
Enumeration date
12/05/2006
Last updated
05/25/2018
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