Individual
TERESA R BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S WOODLAWN DR, CRAWFORD, GA 30630-2622
(706) 255-0617
Mailing address
PO BOX 381, WINTERVILLE, GA 30683-0381
(706) 255-0617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116495
GA
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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