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DR. GROVER L. BAILEY PHD
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1861477457
Individual Registrant:DR. GROVER L. BAILEY PHD
Gender: M
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
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
Tel: 229-227-2977 Fax: 229-227-2955
Registration Information:
NPI: 1861477457
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | GA | PSY002266 |
| N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | FL | PY0005263 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
