MEDICARE: CHRISTOPHER LEE BAILEY EMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146M00000X	Intermediate Emergency Medical Technician	IO44926	GA

General Provider Information

NPI Number	:	1346850856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LEE BAILEY EMT

Provider Business Mailing Address
First Line	:	1893 LATHROP ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-6917
Country	:	US
Telephone Number	:	678-650-7466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1893 LATHROP ST SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-6917
Country	:	US
Telephone Number	:	678-650-7466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	11/27/2023

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