Individual
DR. BAILEY SHEA LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-3500
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD.0000940
TRICARE
CO
Enumeration date
01/31/2019
Last updated
01/29/2025
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