Individual
ZACH BREWER BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 W MADISON ST, PULASKI, TN 38478-2716
(931) 363-9874
(931) 363-9873
Mailing address
111 N INGRAM ST, PULASKI, TN 38478-3510
(931) 309-8234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
948338309
UNITED HEALTHCARE
TN
Enumeration date
06/01/2017
Last updated
06/01/2017
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