Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 75599 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 75599 | GA |
NPI | 1083818926 |
---|---|
Provider Name | Dr. Steven Hugh Bailey |
First Address | Kennesaw, GA 30144-1001 |
Second Address | Kennesaw, GA 30144-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75599 | GEORGIA MEDICAL LICENSE (01) | GA |
MD457267 | PENNSYLVANIA MEDICAL LICENSE (01) | PA |