Terald Otis Bailey in Canton - Family Medicine
Terald Otis Bailey - NPI 1780694083
Terald Otis Bailey is a Family Medicine in Canton, Mississippi. Terald Otis Bailey practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Terald Otis Bailey is 1780694083. The last update date is 2007-07-08.
Terald Otis Bailey's current location address is 1883 Highway 43 South, Canton, Mississippi. You can contact this provider via phone number 6018598992 and fax number 6018555265. The mailing address for Terald Otis Bailey is 1883 Highway 43 South, Canton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terald Otis Bailey |
|---|---|
| Address | 1883 Highway 43 South, Canton, Mississippi |
| Phone Number | 6018598992 |
| Fax Number | 6018555265 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780694083 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1883 Highway 43 South |
|---|---|
| City | Canton |
| State | Mississippi (MS) |
| Post Code | 39046 |
| Phone Number | 6018598992 |
| Fax Number | 6018555265 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 6976 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123908 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Terald Otis Bailey by the Centers for Medicare & Medicaid Services?
The Terald Otis Bailey has been assigned the NPI (National Provider Identifier) 1780694083. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Terald Otis Bailey is physically located?
The Terald Otis Bailey is situated at the following address: 1883 Highway 43 South, Canton, MS 39046.
What is the Terald Otis Bailey's specialty and taxonomy code?
The Terald Otis Bailey's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780694083 to Terald Otis Bailey?
The Terald Otis Bailey received its 1780694083 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the details related to Terald Otis Bailey most recently updated or revised?
The information pertaining to Terald Otis Bailey, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.