Individual
DIANE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-5437
Mailing address
12084 COTTON ALY, ALPHARETTA, GA 30009-7983
(470) 769-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
268586
GA
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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