Bailey, Contresia Ladonna
Bailey, Contresia Ladonna is an individual health care provider with primary practice located at 1462 Montreal Rd Ste 303, Tucker GA 30084-6929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bailey, Contresia Ladonna can be contacted via phone (770) 938-9761.Contact Information
Primary practice address
1462 Montreal Rd Ste 303
Tucker GA 30084-6929
Phone: (770) 938-9761
Fax: (770) 938-6509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A102071 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19333 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 057042 | Georgia |
Profile Details
| NPI number | 1871518951 |
|---|---|
| LBN Legal business name | Bailey, Contresia Ladonna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Sep 15th, 2014 - about 12 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 | 1871518951 | NPPES |
| Georgia | MEDICAID | 003140252A |
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