Provider Demographics
NPI:1730281338
Name:BAILEY, ARLENE NEWMAN (RD)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:NEWMAN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:ARLENE
Other - Middle Name:NEWMAN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:400 DUNLOP DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-3404
Mailing Address - Country:US
Mailing Address - Phone:334-725-3224
Mailing Address - Fax:
Practice Address - Street 1:400 DUNLOP DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-3404
Practice Address - Country:US
Practice Address - Phone:334-725-3224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR595332Medicaid
ALR595332OtherDIETITIAN
ALR595332Medicare UPIN
ALR595332Medicaid