Individual
JOHN MARC BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2781 CT SWITZER DR STE 402, BILOXI, MS 39531
(228) 575-2636
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00330
MS
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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