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Individual

BAILEY LENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 321-3738
Mailing address
33 AUTUMN TRAIL WAY, WAVERLY HALL, GA 31831-2455

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
GA-RN258129
GA
363LF0000X
Family Nurse Practitioner
Primary
RN258129
GA

Other

Enumeration date
10/25/2021
Last updated
01/06/2022
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