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KIMBERLY BAILEY AGPCNP-C

Gerontology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1447760129

Individual Registrant:
 KIMBERLY  BAILEY AGPCNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1012 BURLEYSON RD  DALTON, GA 30720-8340 US
Tel: 706-529-3245  Fax: 706-272-6077

Contact information for business:
1012 BURLEYSON RD  DALTON, GA 30720-8340 US
Tel: 706-529-3245  Fax: 706-272-6077

Registration Information:
NPI: 1447760129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Gerontology
GARN203734
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN203734

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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