Individual
MR. DAVID CLARK BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2810 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3249
(205) 333-7670
Mailing address
2810 LURLEEN B WALLACE BLVD, NORTHPORT, AL 35476-3249
(205) 333-7670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-077689
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05527779
BLUE CROSS BLUE SHIELD
AL
05
—
141939
—
AL
Enumeration date
01/13/2012
Last updated
03/02/2017
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