Bailey, Amy E.

Bailey, Amy E. is an individual health care provider with primary practice located at 852 Dacula Rd , Dacula GA 30019-3185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bailey, Amy E. can be contacted via phone (770) 848-9380.

Contact Information

Primary practice address
852 Dacula Rd Dacula GA 30019-3185
Phone: (770) 848-9380
Fax: (770) 848-9381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL 30124 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 62809 Georgia

Profile Details

NPI number 1275731580
LBN Legal business name Bailey, Amy E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2007
Last updated Oct 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275731580 NPPES
Georgia MEDICAID 189684661A
Georgia MEDICAID 189684661C

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