Individual
MS. NANCY THORNTON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 839-2810
(912) 839-2808
Mailing address
PO BOX 1957, STATESBORO, GA 30459-1957
(912) 839-2810
(912) 839-2808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3998
GA
363AM0700X
Medical Physician Assistant
708
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622193743C
—
GA
05
—
P77089
—
SC
Enumeration date
07/15/2005
Last updated
11/24/2015
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