Individual
ERIC BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4740 NELSON BROGDON BLVD, BUFORD, GA 30518
(770) 945-5027
Mailing address
4740 NELSON BROGDON BLVD, BUFORD, GA 30518-3480
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN015388
GA
Other
Enumeration date
03/17/2016
Last updated
07/25/2019
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