| Doctor Name: | DR. RONALD WESLEY BAILEY |
| NPI Number: | 1316005143 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 66563 |
| Business Practice Address: | 300 W Hospital Rd Eisenhower Army Medical Center, Radiology Department Fort Gordon, GA - 309055741 |
| Business Phone Number: | 7067872163 |
| Business Fax Number: | 7067872123 |
| Mailing Address: | 708 Michaels Crk, EVANS |
| State: | GA |
| Postal Code: | 308094042 |
| Phone Number: | 7068680972 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 66563 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |