MEDICARE: DR. BILLY REID MCBAY M.D.

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
1	207Q00000X	Family Medicine Physician	C7950	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1659340826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BILLY REID MCBAY M.D.

Provider Business Mailing Address
First Line	:	501 MILLWOOD CIRCLE
Second Line	:	SUITE E
City	:	MAUMELLE
State	:	AR
Zip	:	72113
Country	:	US
Telephone Number	:	501-803-9990
Fax Number	:	501-803-9991

Provider Business Practice Location Address
First Line	:	501 MILLWOOD CIR
Second Line	:	SUITE E
City	:	MAUMELLE
State	:	AR
Zip	:	72113-6327
Country	:	US
Telephone Number	:	501-803-9990
Fax Number	:	501-803-9991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	11/25/2009

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