Organization
TANGLEWOOD FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A BAILEY SR. MD (P VP S T)
(434) 636-6903
Entity
Organization
Contact information
Practice address
9782 HWY 903, BRACEY, VA 23919-1991
(434) 636-6903
(434) 636-3826
Mailing address
9782 HWY 903, BRACEY, VA 23919-1991
(434) 636-6903
(434) 636-3826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL0333
MEDICARE RAILROAD GROUP NUMBER
—
Enumeration date
05/15/2006
Last updated
08/05/2008
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