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NPI Code Detail

MEDICARE: DR. GEORGE TILLMAN BAILEY III MD

MEDICARE:  DR. GEORGE TILLMAN BAILEY III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician26718NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497756084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE TILLMAN BAILEY III MD
Provider Business Mailing Address
First Line : PO BOX 30750
Second Line :
City : GREENVILLE
State : NC
Zip : 27833-0750
Country : US
Telephone Number : 252-931-7638
Fax Number : 252-931-7694
Provider Business Practice Location Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-931-7638
Fax Number : 252-931-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 08/29/2023

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Directions to “ DR. GEORGE TILLMAN BAILEY III MD” Practice Location

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