Individual
JOE DAVID BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1315 13TH AVE SE, DECATUR, AL 35601-4308
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM CERTIFICATION
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503837BAI
BCBS OF AL PROVIDER #
AL
Enumeration date
11/30/2006
Last updated
07/08/2007
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