Individual
BILLY DEAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 AUGUSTA AVE, SUITE A, PADUCAH, KY 42003-5515
(270) 534-0046
(270) 534-0048
Mailing address
854 W. JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401
(931) 388-9706
(931) 388-9772
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16622
TN
207RR0500X
Rheumatology Physician
26804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049267
BLUE CROSS BLUE SHIELD
KY
01
—
029602
HEALTH ALLIANCE
—
01
—
145768
HEALTHLINK
—
01
—
18D0700362
CLIA
—
Enumeration date
09/14/2005
Last updated
06/07/2018
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