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NPI Code Detail

MEDICARE: TIA BAILEY

MEDICARE: TIA BAILEY
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
1183500000XPharmacistRPH033788GA

General Provider Information

NPI Number : 1649906355
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIA BAILEY
Provider Business Mailing Address
First Line : 794 S PARK ST
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-3826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 794 S PARK ST
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-3826
Country : US
Telephone Number : 770-838-1678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 07/26/2022

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Directions to “ TIA BAILEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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