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AMANDA BAILEY APRN
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1316533383
Individual Registrant: AMANDA BAILEY APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1200 MEMORIAL DR DALTON, GA 30720-2529 US
Tel: 850-865-4285 Fax: --
Tel: 850-865-4285 Fax: --
Contact information for business:
563 CALLAWAY CT CHATTANOOGA, TN 37421-0604 US
Tel: 850-865-4285 Fax: --
Tel: 850-865-4285 Fax: --
Registration Information:
NPI: 1316533383
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | GA | GAA-NP000022 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
