Doctor Name: | JEFFREY ALLEN BAILEY |
NPI Number: | 1376780528 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC, NCTM |
License Number: | 0126001289 |
Business Practice Address: | 22525 Belmont Ridge Rd Ashburn, VA - 201486925 |
Business Phone Number: | 7039574408 |
Business Fax Number: | |
Mailing Address: | 5132 Dumfries Rd, WARRENTON |
State: | VA |
Postal Code: | 201878925 |
Phone Number: | 5402708175 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 03/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0126001289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |