Individual
JAMES DESPARD BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MEDICAL PARK DR STE 300, BRIDGEPORT, WV 26330-9013
(681) 342-3300
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17439
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045305000
—
WV
Enumeration date
06/23/2006
Last updated
04/05/2022
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