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Individual

MR. GENE ARNOLD BAILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
245 HOLSTON RD, SUITE B, WYTHEVILLE, VA 24382-4486
(276) 227-0460
(276) 227-0711
Mailing address
245 HOLSTON RD, SUITE B, WYTHEVILLE, VA 24382-4486
(276) 227-0460
(276) 227-0711

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04246
NC
363A00000X
Physician Assistant
Primary
0110004475
VA
363A00000X
Physician Assistant
PA733
KY

Other

Enumeration date
12/06/2006
Last updated
02/10/2014
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