Bailey, David S

Bailey, David S is an individual health care provider with primary practice located at 200 W Academy St Nw Suite A, Gainesville GA 30501-8524. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bailey, David S can be contacted via phone (770) 535-1284.

Contact Information

Primary practice address
200 W Academy St Nw Suite A Gainesville GA 30501-8524
Phone: (770) 535-1284
Fax: (770) 536-3888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 286 Georgia

Profile Details

NPI number 1154409449
LBN Legal business name Bailey, David S
Credentials ED.D., ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 9th, 2013 - about 11 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 1154409449 NPPES
Georgia MEDICAID 000041654B

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