Individual
TONY DALE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2789 CARROLLTON VILLA RICA HWY, CARROLLTON, GA 30116-5597
(770) 258-1227
(770) 258-1227
Mailing address
PO BOX 1332, CARROLLTON, GA 30112-0025
(770) 258-1227
(770) 258-1227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130742
GA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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