AUDREY KATHRYN BAILEY
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1053088922- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 40 LARK DR, GRENADA, MS, 389019640
- Phone
- (166) 280-9245
Specialties & Taxonomies
Family Medicine
Primary License: MS #904839