Provider Information for 1760786339
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ANNA G BAILEY MSW
Other Names:Former Name:GEORGIA ANNA GOODMANSex: Female
NPI: 1760786339
Last Updated: 2011-04-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760786339 | ||||||||
| Enumeration Date | 2010-12-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 751461 CHARLOTTE, NC 28275-1461 United States Phone: 843-792-6200 | Fax: | ||||||||
| Primary Practice Address | 171 ASHLEY AVE CHARLESTON, SC 29425-0100 United States Phone: 843-792-1414 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|