Healthcare Provider Details

I. General information

NPI: 1649151754
Provider Name (Legal Business Name): EMILY DAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 THOMAS GRACE ANNEX LN
SHARPSBURG GA
30277-3568
US

IV. Provider business mailing address

66 THOMAS GRACE ANNEX LN
SHARPSBURG GA
30277-3568
US

V. Phone/Fax

Practice location:
  • Phone: 770-683-0250
  • Fax: 770-683-4250
Mailing address:
  • Phone: 770-683-0250
  • Fax: 770-683-4250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018041
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: