| Doctor Name: | ROBERT E BAILEY |
| NPI Number: | 1134379175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 09411 |
| Business Practice Address: | 222 S 27th Ave Minor Care Clinic Hattiesburg, MS - 394017165 |
| Business Phone Number: | 6014503030 |
| Business Fax Number: | 6014503031 |
| Mailing Address: | Po Box 1729, HATTIESBURG |
| State: | MS |
| Postal Code: | 394031729 |
| Phone Number: | 6015458700 |
| Fax Number: | 6015825461 |
| NPI Enumeration Date: | 09/26/2008 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 09411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |