Bailey, George W

Bailey, George W is an sole proprietor health care provider with primary practice located at 514 W Bankhead Hwy Suite 400, Villa Rica GA 30180-1736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bailey, George W can be contacted via phone (770) 456-2788.

Contact Information

Primary practice address
514 W Bankhead Hwy Suite 400 Villa Rica GA 30180-1736
Fax: (770) 456-2790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00004231 Alabama
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 060348 Georgia

Profile Details

NPI number 1245274034
LBN Legal business name Bailey, George W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 11th, 2019 - about 6 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 1245274034 NPPES
Alabama MEDICAID 009937083
Alabama MEDICAID 677502986A
Alabama Other 515-33258

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