Individual
MICHAEL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1772 SAMARIA TRL, TUCKER, GA 30084-7429
(404) 405-8246
Mailing address
1772 SAMARIA TRL, TUCKER, GA 30084-7429
(404) 405-8246
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
47-1252876
GA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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