Provider Demographics
NPI:1811703655
Name:DAILEY PEDIATRICS AND FAMILY MEDICINE PC
Entity type:Organization
Organization Name:DAILEY PEDIATRICS AND FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGLIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:912-403-1324
Mailing Address - Street 1:2970 AIMWELL RD
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-9052
Mailing Address - Country:US
Mailing Address - Phone:912-403-1324
Mailing Address - Fax:
Practice Address - Street 1:310 MAPLE DR
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8909
Practice Address - Country:US
Practice Address - Phone:912-403-1324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care