Provider Demographics
NPI:1659573558
Name:BAILEY, AMELIA PURSER (MD)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:PURSER
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HUMPHREYS CENTER DR STE 307
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2363
Mailing Address - Country:US
Mailing Address - Phone:901-747-2229
Mailing Address - Fax:901-747-4446
Practice Address - Street 1:80 HUMPHREYS CENTER DR STE 307
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2363
Practice Address - Country:US
Practice Address - Phone:901-747-2229
Practice Address - Fax:901-747-4446
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN51031207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty