Individual
PAUL A BAILEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9782 HWY 903, BRACEY, VA 23919
(434) 636-6903
(434) 636-3826
Mailing address
9782 HWY 903, BRACEY, VA 23919
(434) 636-6903
(434) 636-3826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101041235
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005641659
—
VA
01
—
080042374
MEDICARE RAILROAD
VA
01
—
092375
ANTHEM BCBS VA
VA
Enumeration date
04/28/2006
Last updated
02/25/2008
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