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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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