Individual
BAILEY SCOTT JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
584 EMMA GRACE DR, JONESBOROUGH, TN 37659-6489
(423) 444-6753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007913
VA
363A00000X
Physician Assistant
4611
TN
363AM0700X
Medical Physician Assistant
0110007913
VA
363AM0700X
Medical Physician Assistant
Primary
4611
TN
Other
Enumeration date
06/11/2021
Last updated
09/22/2021
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