Individual provider · NPI-1

Dr. Westly Adrian Bailey, MD

Family Medicine, Sports Medicine · Suwanee, GA

NPI number1053596296
StatusActive
Last updated in NPPESOct 12, 2020

Details

NPI
1053596296
Entity type
Individual (NPI-1)
Name
Dr. Westly Adrian Bailey
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 7, 2008
Certification date
Oct 12, 2020
Last updated
Oct 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine063165GAYes
207Q00000X Family Medicine002629GA
207Q00000X Family Medicine063165GA
207QS0010X Family Medicine, Sports Medicine63165GA

Practice location

3890 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024-1284

Phone 770-623-1331 · Fax 770-623-5674

Mailing address

3890 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024-1284

Phone 770-623-1331 · Fax 770-623-5674

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