Bailey, Westly Adrian
Bailey, Westly Adrian is an individual health care provider with primary practice located at 3890 Johns Creek Pkwy Ste 230, Suwanee GA 30024-1284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bailey, Westly Adrian can be contacted via phone (770) 623-1331.Contact Information
Primary practice address
3890 Johns Creek Pkwy Ste 230
Suwanee GA 30024-1284
Phone: (770) 623-1331
Fax: (770) 623-5674
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 002629 | Georgia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 063165 | Georgia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 63165 | Georgia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 063165 | Georgia |
Profile Details
NPI number | 1053596296 |
---|---|
LBN Legal business name | Bailey, Westly Adrian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 7th, 2008 |
Last updated | Oct 12th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053596296 | NPPES |
Georgia | Other | 002629 | RESIDENCY TRAINING PERMIT |
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