Individual
BAILEY A ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
5230 DIXON RD, LIZELLA, GA 31052-5007
(478) 391-0255
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN329679
GA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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