DOMINIQUE L BAILEY

GRIFFIN, GA
NPI1063903615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN227795)
Enumeration Date2018-05-18
Last Update Date2019-02-21
Business Address
DOMINIQUE L BAILEY FNP-C
604A S 8TH ST
GRIFFIN, GA 30224-4214
Phone number: 770-227-1999
Mailing Address
DOMINIQUE L BAILEY FNP-C
863 FLAT SHOALS RD SE STE 145
CONYERS, GA 30094-6633
Phone number:
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