Individual
OCTAVIS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5256 CRYSTAL CT APT A, COLUMBUS, GA 31907-8011
(706) 536-4198
Mailing address
5256 CRYSTAL CT APT A, COLUMBUS, GA 31907-8011
(706) 536-4198
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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