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Individual

DR. LAWRENCE DELMORE BAILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
105 W STONE DR STE 2B, KINGSPORT, TN 37660-3365
(423) 578-1596
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20678
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051098
TN
Enumeration date
12/09/2005
Last updated
06/04/2021
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