Individual
DR. CONTRESIA LADONNA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1462 MONTREAL RD, STE 303, TUCKER, GA 30084-6929
(770) 938-9761
(770) 938-6509
Mailing address
1462 MONTREAL RD, STE 303, TUCKER, GA 30084-6929
(770) 938-9761
(770) 938-6509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057042
GA
207Q00000X
Family Medicine Physician
19333
MS
207Q00000X
Family Medicine Physician
A102071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140252A
—
GA
Enumeration date
07/12/2006
Last updated
09/15/2014
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