Individual
MRS. LAUREN GICZEWSKI BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
504 BEACHVIEW DR, SUITE 2A, SAINT SIMONS ISLAND, GA 31522-4740
(912) 222-7755
Mailing address
620 SEA ISLAND RD, 273, SAINT SIMONS ISLAND, GA 31522-1767
(912) 222-7755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002579
GA
Other
Enumeration date
12/07/2010
Last updated
10/03/2012
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