NPI 1144635939 · live from the CMS NPI Registry
Philip Scott Bailey, PA-C
Physician Assistant in Charleston, WV. National Provider Identifier 1144635939, active.
NPI record
| NPI | 1144635939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 419 Brooks St, Charleston, WV 25301 |
| Practice phone | 304-388-6004 |
| Mailing address | 3200 Maccorkle Avenue Se, Emergency Department, Charleston, WV 25304 |
| Enumerated | June 30, 2014 |
| Last updated | April 28, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 1810 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.