Individual
MISS JORDAN CHANTE' BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1091 OVERLOOK PKWY APT 823, MACON, GA 31210-5906
(731) 443-4311
Mailing address
1091 OVERLOOK PKWY APT 823, MACON, GA 31210-5906
(731) 443-4311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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