Individual
GARRICK KEITH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 PROFESSIONAL DR, BALDWIN, GA 30511-4000
(706) 776-2368
(706) 776-2589
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
041507
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000707176A
—
GA
05
—
000707176B
—
GA
05
—
000707176C
—
GA
05
—
000707176D
—
GA
01
—
10032963
AMERIGROUP
GA
01
—
1200031
UNITED HEALTHCARE
GA
01
—
2031816
AETNA HMO
GA
01
—
302374
WELLCARE
GA
01
—
302381
WELLCARE
GA
01
—
302388
WELLCARE
GA
01
—
302389
WELLCARE
GA
01
—
52581168
BCBS
GA
01
—
5363212
AETNA PPO
GA
01
—
5486464
CIGNA
GA
01
—
756400
WELLCARE
GA
Enumeration date
01/18/2006
Last updated
08/17/2023
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