Healthcare Provider Details

I. General information

NPI: 1396739140
Provider Name (Legal Business Name): ALLAN HAROLD BAILEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 CHURCH STREET SUITE 420
NASHVILLE TN
37203-2010
US

IV. Provider business mailing address

104 WOODMONT BLVD SUITE LL50
NASHVILLE TN
37205-2245
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-2141
  • Fax: 615-321-0522
Mailing address:
  • Phone: 615-386-2361
  • Fax: 615-386-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD0000017191
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: