Individual
RITA G. BAENS-BAILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6010
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
037474
GA
208000000X
Pediatrics Physician
Primary
037474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557631H
—
GA
Enumeration date
05/01/2006
Last updated
04/20/2010
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