Individual
BRIAN MARCUS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5354 REYNOLDS ST STE 102, SAVANNAH, GA 31405-6008
(912) 819-0500
(912) 819-0501
Mailing address
602 E 72ND ST, SAVANNAH, GA 31405-4913
(912) 819-7878
(912) 819-7850
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
057930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057930
GEORGIA MEDICAL LICENSE
GA
05
—
1609801810
—
MO
05
—
289814
—
SC
Enumeration date
07/12/2006
Last updated
03/17/2018
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