Individual
TERALD OTIS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1883 HIGHWAY 43 SOUTH, STE D, CANTON, MS 39046
(601) 859-8992
(601) 855-5265
Mailing address
1883 HIGHWAY 43 SOUTH, STE D, CANTON, MS 39046
(601) 859-8992
(601) 855-5265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06976
MS
207R00000X
Internal Medicine Physician
06976
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123908
—
MS
Enumeration date
08/09/2006
Last updated
09/11/2025
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