Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD048681 | DC |
NPI | 1306289020 |
---|---|
Provider Name | Dr. Annie Martha Bailey |
First Address | Washington, DC 20003-3658 |
Second Address | Washington, DC 20003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 13/10/2021 |