Provider Demographics
NPI:1770733784
Name:BAILEY, TAMMY B
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:B
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 1:7127 MORAN RD
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-8231
Mailing Address - Country:US
Mailing Address - Phone:225-348-5053
Mailing Address - Fax:225-351-9224
Practice Address - Street 1:7127 MORAN RD
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8231
Practice Address - Country:US
Practice Address - Phone:225-348-5053
Practice Address - Fax:225-351-9224
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)