Individual
CANDACE A BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 N CLARK ST, CAMPUS BOX 65, MILLEDGEVILLE, GA 31061-3321
(478) 445-1787
Mailing address
4040 COOK SPRINGS RD, PELL CITY, AL 35125-4446
(205) 473-5562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002279
GA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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