Individual
MS. GEORGETTE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6047 HAVENVIEW DR, MECHANICSVILLE, VA 23111-7507
(434) 401-8077
Mailing address
6047 HAVENVIEW DR, MECHANICSVILLE, VA 23111-7507
(434) 401-8077
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0119002770
VA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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