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Individual

MRS. BAILEY LAUREN HESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11700 MERCY BLVD, PLAZA D, BLDG 1, STE. A, SAVANNAH, GA 31419-1753
(912) 819-0500
(912) 819-0501
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10355
GA
363AM0700X
Medical Physician Assistant
1177769
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10355
STATE LICENSE
GA
Enumeration date
05/11/2021
Last updated
10/11/2022
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