Marquis D. Bailey, OT/L
Individual provider Active NPI Specialist · Winston - Salem, NC
NPI 1316254451 · NPPES record last updated Sep 10, 2010
Key facts
- NPI
- 1316254451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 6115 (NC)
- Practice address
- 200 Alexander Preston LN
Winston - Salem, NC 27127 - Phone
- (336) 624-9345
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6115 | NC | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6115 | NC | Yes |
Addresses
Primary practice location
200 Alexander Preston LN
Winston - Salem, NC 27127
Mailing address
200 Alexander Preston LN
Winston Salem, NC 27127-7294
Phone (336) 624-9345
Other providers in Winston - Salem, NC
- Caroline Williams Bailey
- Emily Greenwood Bailey
- Jane W Bailey
- Khali Bailey
- Mackenzie Bailey
- Paul Henry Bailey
- Paul Warren Bailey
- Robert Boyd Bailey
- Sara W. Bailey
- Sarah Marie Bailey
All providers in Winston - Salem, NC · Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.