Organization Name: | BAILEY FAMILY PRACTICE CENTER, P.A. |
NPI Number: | 1528037959 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THEODORE GEORGE BRNA (PRESIDENT) |
Mailing Address: | 6321 Deans St Bailey |
State: | NC US |
Postal Code: | 278078641 |
Phone Number: | 2522354181 |
Fax Number: | 2522352950 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 38590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |