Organization
IVY COLLABORATIVE HEALTHCARE LLC
Active
Organization
IVY COLLABORATIVE HEALTHCARE LLC
Active
Other names
Ivy Collaborative Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN KELLY BAYLISS MD (AUTHORIZED OFFICIAL)
(706) 364-3461
Entity
Organization
Contact information
Practice address
2100 CENTRAL AVENUE, STES 6 & 7, AUGUSTA, GA 30904-6717
(706) 364-3461
(706) 364-3481
Mailing address
2100 CENTRAL AVENUE, STES 6 & 7, AUGUSTA, GA 30904-6709
(706) 364-3461
(706) 364-3481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/06/2020
Last updated
05/07/2024
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