Basic Information
| Provider Information | |||||||||
| NPI: | 1700815677 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAILEY | ||||||||
| FirstName: | SALLY | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1750 | ||||||||
| Address2: | |||||||||
| City: | SKYLAND | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287761750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285752644 | ||||||||
| FaxNumber: | 8283502174 | ||||||||
| Practice Location | |||||||||
| Address1: | 1715 N GEORGE MASON DR | ||||||||
| Address2: | STE 502 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222053609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035586040 | ||||||||
| FaxNumber: | 7035586042 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2006 | ||||||||
| LastUpdateDate: | 05/04/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0201X | 036032 | DC | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Allergy/Immunology | 207KA0200X | 0101239697 | VA | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy |
No ID Information.