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Contact Information

FREDERICK L BAILEY, CCADC
265 BOULEVARD NE
ATLANTA, GA30312-1208
 Phone: 404-730-1650
 Fax: 404-730-1651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for FREDERICK L BAILEY · (Male)

NPI # 1932389350
Status Active
Credentials CCADC
Entity Individual
Enumeration date 11/14/2007
Last updated 11/14/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # C0036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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