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Individual

DR. GROVER L. BAILEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
400 S PINETREE BLVD, THOMASVILLE, GA 31792-7128
(229) 227-2977
(229) 227-2955
Mailing address
PO BOX 1378, SOUTHWESTERN STATE HOSPITAL - PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-2977
(229) 227-2955

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002266
GA
103TC0700X
Clinical Psychologist
PY0005263
FL

Other

Enumeration date
12/07/2005
Last updated
07/09/2007
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