Individual
BRUCE ANTHONY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
107 W LIBERTY ST, WASHINGTON, GA 30673-1623
(706) 318-3158
Mailing address
12 W ROBERT TOOMBS AVE, WASHINGTON, GA 30673-1662
(706) 318-3158
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
3036
GA
163WE0003X
Emergency Registered Nurse
219236
GA
363LF0000X
Family Nurse Practitioner
Primary
219236
GA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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