Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 00604 | NC |
NPI | 1003985128 |
---|---|
Provider Name | Scott A. Bailey |
First Address | Burlington, NC 27217 |
Second Address | Burlington, NC 27217-3706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141KF | BCBS (01) | NC |
5901861 | (05) | NC |
I36189 | (02) | |
I36189 | UHC (01) | NC |