Provider Demographics
NPI:1306908546
Name:BAILEY, BRIDGETT C (DO)
Entity type:Individual
Prefix:DR
First Name:BRIDGETT
Middle Name:C
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:508 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-1224
Mailing Address - Country:US
Mailing Address - Phone:478-864-3448
Mailing Address - Fax:478-864-1288
Practice Address - Street 1:116 SMITH ST
Practice Address - Street 2:
Practice Address - City:TENNILLE
Practice Address - State:GA
Practice Address - Zip Code:31089-1465
Practice Address - Country:US
Practice Address - Phone:478-552-7384
Practice Address - Fax:478-552-1198
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA058390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA058390OtherMEDICAL LICENSE
GA111861OtherUGS-TENNILLE
GA111861OtherUGS-TENNILLE