NPI 1023165123

Mac Gene Bailes, DO

Practitioner Emergency Medicine Physician Gassaway, WV

Practice location

Address: 100 Hoylman Dr, Gassaway, WV 26624-9321
Phone: (304) 364-1060
Mailing address: 1431 Centerpoint Blvd Suite 100, Knoxville, TN 37932-1984

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 1100 (WV)

Other Emergency Medicine providers in West Virginia →

Registry record

NPI: 1023165123
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.