Provider Demographics
NPI:1225534928
Name:BAILEY, MARGARET CANNEDY
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CANNEDY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-2226
Mailing Address - Country:US
Mailing Address - Phone:540-848-2271
Mailing Address - Fax:540-898-1779
Practice Address - Street 1:2004 LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-2226
Practice Address - Country:US
Practice Address - Phone:540-848-2271
Practice Address - Fax:540-898-1779
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVSM4615347C00000X
VAVSM4616347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle