Bailey, Nancy Thornton

Bailey, Nancy Thornton is an sole proprietor health care provider with primary practice located at 1499 Fair Rd , Statesboro GA 30458-1683. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bailey, Nancy Thornton can be contacted via phone (912) 839-2810.

Contact Information

Primary practice address
1499 Fair Rd Statesboro GA 30458-1683
Phone: (912) 839-2810
Fax: (912) 839-2808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3998 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 708 South Carolina

Profile Details

NPI number 1225037971
LBN Legal business name Bailey, Nancy Thornton
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Nov 24th, 2015 - 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 1225037971 NPPES
South Carolina MEDICAID P77089
South Carolina MEDICAID 622193743C

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