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NPI Code Detail

MEDICARE: GLENDA JOY BAILEY CPHT

MEDICARE: GLENDA JOY BAILEY CPHT
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
1183700000XPharmacy Technician0000016384TN

General Provider Information

NPI Number : 1760457444
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA JOY BAILEY CPHT
Provider Business Mailing Address
First Line : 222 NANCE CIR
Second Line :
City : PARIS
State : TN
Zip : 38242-5697
Country : US
Telephone Number : 731-642-5448
Fax Number :
Provider Business Practice Location Address
First Line : 1325 E WOOD ST
Second Line :
City : PARIS
State : TN
Zip : 38242-4421
Country : US
Telephone Number : 731-642-0451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 07/08/2007

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Directions to “ GLENDA JOY BAILEY CPHT” Practice Location

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