Joel Bagby
Counselor (Professional)

Address: 304 W I Pkwy Ste 102, Dallas, GA 30132-5078
Phone: 7704458079

Joel Bagby (NPI# 1609406966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609406966
Entity Type Individual
Full Name Joel Bagby
Gender Male
Practice Address 304 W I Pkwy Ste 102
Dallas
GA 30132-5078
Practice Telephone 7704458079
Mailing Address 304 W I Pkwy Ste 102
Dallas
GA 30132-5078
Mailing Telephone 7704458079
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-01-24
Last Update Date 2020-01-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 001431 GA

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 304 W I PKWY STE 102
City DALLAS
State GA
Zip Code 30132-5078

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205398526 Away Lice Removal Specialists, LLC Homeopath 531 Hardee Street, Dallas, GA 30132 2019-04-04
1215405030 Bio-medical Applications of Georgia, Inc. Clinic/Center 112 Village Walk, Dallas, GA 30132 2018-11-09
1306313184 Jessica Ramskogler Counselor 168 N. Johnson St, Suite 304, Dallas, GA 30132 2018-10-30
1912489337 Michelle Jennifer Bergman Lactation Consultant, Non-RN 549 Waburn Walk, Dallas, GA 30132 2018-09-01
1457870099 Dynamic Xray Solutions LLC Clinic/Center 77 Wellsey Way, Dallas, GA 30132 2017-09-14
1528438413 Georgia Dental Professionals, PC Dentist 8709 Dallas Acworth Hwy, Dallas, GA 30132 2015-10-05
1013256130 Paulding Auto Sales Private Vehicle 210 E Memorial Dr, Dallas, GA 30132 2013-02-08
1255613410 Matthew Lerandal Talley Chiropractor 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 2011-09-14
1003109422 Ashlyn Drugs Pharmacy 1160 Old Harris Rd, Dallas, GA 30132 2011-05-18
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Competitor

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City DALLAS
Zip Code 30132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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