Individual
DR. BENJAMIN B BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3007D MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5304
(256) 382-5205
(256) 382-3355
Mailing address
3007D MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5304
(256) 382-5205
(256) 382-3355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25465
AL
208D00000X
General Practice Physician
25465
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051000508
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
06/21/2006
Last updated
09/21/2012
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