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NPI Code Detail

MEDICARE: THOMAS O BAILEY MD

MEDICARE:   THOMAS O BAILEY  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
1207Q00000XFamily Medicine PhysicianE2087AR

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 : 1851403422
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS O BAILEY MD
Provider Business Mailing Address
First Line : 558 ATKINS BLVD
Second Line :
City : MARIANNA
State : AR
Zip : 72360-2113
Country : US
Telephone Number : 870-298-4258
Fax Number :
Provider Business Practice Location Address
First Line : 558 ATKINS BLVD
Second Line :
City : MARIANNA
State : AR
Zip : 72360-2113
Country : US
Telephone Number : 870-295-5225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/30/2025

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Directions to “ THOMAS O BAILEY MD” Practice Location

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