Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101239697 | VA |
N | 2080P0201X | Pediatric Allergist | 036032 | DC |
NPI | 1700815677 |
---|---|
Provider Name | Sally J Bailey |
First Address | Skyland, NC 28776-1750 |
Second Address | Arlington, VA 22205-3609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 04/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I00358 | (02) |