NPI 1982461604
Ivy Baisie
Practice location
- Address
- 6855 Highway 16 STE 102, Senoia, GA 30276-8604
- Phone
- (678) 876-2724
- Mailing address
- 55 Ellabelle CT, Senoia, GA 30276-6203
Registered specialties (4)
Attendant Care Provider
Primary
Personal Care Attendant
Adult Companion
Technician
Registry record
- NPI
- 1982461604
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Feb 2024
- Record last updated
- 29 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.