Individual
DR. BAILEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5085
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30664
MS
208000000X
Pediatrics Physician
30664
MS
Other
Enumeration date
04/18/2017
Last updated
12/20/2023
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