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DR. GROVER L. BAILEY PHD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861477457

Individual Registrant:
DR. GROVER L. BAILEY PHD
Gender: M

Location and contact information for practice:
400 S PINETREE BLVD  THOMASVILLE, GA 31792-7128 US
Tel: 229-227-2977  Fax: 229-227-2955

Contact information for business:
PO BOX 1378 SOUTHWESTERN STATE HOSPITAL - PATIENT BILLING DEPT THOMASVILLE, GA 31799-1378 US
Tel: 229-227-2977  Fax: 229-227-2955

Registration Information:
NPI: 1861477457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
GAPSY002266
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
FLPY0005263

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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