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Individual

MS. BAILEY NICOLE MANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, OTC, OT-SC

Contact information

Practice address
2860 RONALD REAGAN BLVD STE 300, CUMMING, GA 30041-6290
(404) 355-0743
(855) 283-8851
Mailing address
2680 RONALD REAGAN BLVD., STE 300, CUMMING, GA 30041
(404) 355-0743

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
246ZX2200X
Orthopedic Assistant
Primary
24-2832
GA

Other

Enumeration date
04/14/2020
Last updated
04/09/2025
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