Individual
MRS. MARISA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 MEELER CIR, BOGART, GA 30622-6844
(404) 394-6132
Mailing address
245 MEELER CIR, BOGART, GA 30622-6844
(404) 394-6132
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN264966
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN264966
GA
Other
Enumeration date
06/05/2021
Last updated
10/19/2025
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