Organization
C.E. BAILEY, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E BAILEY M.D., PH.D (PRESIDENT)
(770) 668-0648
Entity
Organization
Contact information
Practice address
5425 MOUNT VERNON WAY, DUNWOODY, GA 30338-2852
(770) 668-0648
Mailing address
5425 MOUNT VERNON WAY, DUNWOODY, GA 30338-2852
(770) 668-0648
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
018602
GA
Other
Enumeration date
01/25/2014
Last updated
01/25/2014
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