Individual provider · NPI-1

Benjamin T Bailey, MD

Family Medicine · Greeneville, TN

NPI number1740620103
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1740620103
Entity type
Individual (NPI-1)
Name
Benjamin T Bailey
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2013
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine55897TNYes

Practice location

1404 Tusculum Blvd Ste 3100
Greeneville, TN 37745-4648

Phone 423-638-4114

Mailing address

1225 E Weisgarber Rd Ste 200
Knoxville, TN 37909-2675

Phone 865-584-4747 · Fax 865-584-1363

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