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NPI Code Detail

MEDICARE: TAMMIE WILLIAMS BAILEY

MEDICARE:   TAMMIE WILLIAMS BAILEY
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
1183500000XPharmacist8997NC

General Provider Information

NPI Number : 1437418035
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMIE WILLIAMS BAILEY
Provider Business Mailing Address
First Line : 303 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2605
Country : US
Telephone Number : 919-269-7481
Fax Number : 919-269-7481
Provider Business Practice Location Address
First Line : 303 N ARENDELL AVE
Second Line :
City : ZEBULON
State : NC
Zip : 27597-2605
Country : US
Telephone Number : 919-269-7481
Fax Number : 919-269-7481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2012
Last Update Date : 05/16/2012

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Directions to “ TAMMIE WILLIAMS BAILEY ” Practice Location

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