Individual
DR. CHRISTOPHER T BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
200 MEDICAL PARK DR STE 400, CONCORD, NC 28025-0906
(704) 786-1108
(704) 782-1826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-01616
NC
208600000X
Surgery Physician
02953
KY
208600000X
Surgery Physician
2012-01616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494339
ANTHEM BC &BS
KY
05
—
2652320
—
OH
05
—
64116171
—
KY
Enumeration date
05/05/2006
Last updated
10/08/2013
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