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Individual

ALLAN HAROLD BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD0000017191
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100007065
RAILROAD MEDICARE
TN
05
3019995
TN
05
3019996
TN
Enumeration date
09/08/2005
Last updated
12/16/2015
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