Individual
BAILEY MINGLEDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 HIDDEN FOREST CT UNIT 7115, MARIETTA, GA 30066-3162
(404) 626-3314
Mailing address
361 TIMBER WAY E, MARIETTA, GA 30066-3500
(678) 910-0534
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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