Healthcare Provider Details

I. General information

NPI: 1376478529
Provider Name (Legal Business Name): LESTER THOMAS BAILEY II NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BALTIMORE PL NW STE 200
ATLANTA GA
30308-2114
US

IV. Provider business mailing address

1 BALTIMORE PL NW STE 200
ATLANTA GA
30308-2114
US

V. Phone/Fax

Practice location:
  • Phone: 470-737-1606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP034882
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: