Provider Demographics
NPI:1659331890
Name:BAILEY, ANGELA HAGER (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HAGER
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:ALICIA
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:322 PETERSON PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3102
Mailing Address - Country:US
Mailing Address - Phone:910-822-0393
Mailing Address - Fax:910-396-5457
Practice Address - Street 1:BLDG 5-4257, BASTOGNE EXT
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-2575
Practice Address - Fax:910-396-5457
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800557207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine