Individual
BAILEE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 BROOKSTONE CENTRE PKWY BLDG 200, COLUMBUS, GA 31904-4501
(706) 256-0700
Mailing address
707 CENTER ST STE 110, COLUMBUS, GA 31901-1575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81301
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
07/01/2020
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