Individual
DR. THOMAS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 254-9262
Mailing address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 254-9262
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
17538
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718055
WV BCBS
WV
01
—
1053229
WV DWC
WV
01
—
17538
LICENSE
WV
05
—
1801525000
—
WV
Enumeration date
01/04/2006
Last updated
10/31/2023
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