Individual
DR. BENNETT DAVID BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
515 PEACHTREE PKWY STE 602, CUMMING, GA 30041-4806
(678) 456-8859
Mailing address
1314 CALDERWOOD CT SE, SMYRNA, GA 30080-3950
(615) 715-7983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010763
GA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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