Individual
TAMMY HASKINS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
196 LAYING FARM RD SE, MILLEDGEVILLE, GA 31061-9714
(478) 414-2362
Mailing address
114 W MONTEGO COURT NW, MILLEDGEVILLE, GA 31061
(478) 718-1509
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN145753
GA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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