Individual
DR. AMY E. BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
852 DACULA RD, DACULA, GA 30019-3185
(770) 848-9380
(770) 848-9381
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62809
GA
207Q00000X
Family Medicine Physician
LL 30124
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189684661A
—
GA
05
—
189684661C
—
GA
Enumeration date
07/08/2007
Last updated
10/06/2020
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