Individual
MS. DIANNE ELISABETH BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1365 CLIFTON RD NE, DEPT. OF CARDIOTHORACIC SURGERY, ATLANTA, GA 30322-1013
(404) 686-2513
(404) 686-4959
Mailing address
620 PEACHTREE ST, UNIT # 1410, ATLANTA, GA 30308-2313
(404) 931-1109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01366
GA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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