Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 034768 | GA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 034768 | GA |
NPI | 1265458798 |
---|---|
Provider Name | Dr. Erroll J Bailey |
First Address | Atlanta, GA 30308-2247 |
Second Address | Atlanta, GA 30308-2247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 20/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000466199E | (05) | GA |
000466199F | (05) | GA |
000466199G | (05) | GA |
000466199H | (05) | GA |
E29465 | (02) | GA |