Individual
BAILEY ELIZABETH AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CLINIC DR, MOBILE, AL 36608
(251) 445-9300
Mailing address
70 HICKORY CIR, BUTLER, AL 36904-2167
(205) 459-2866
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12389
AL
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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