Provider Demographics
NPI:1548895949
Name:JAMES-DAILEY, CHARLEE L
Entity type:Individual
Prefix:
First Name:CHARLEE
Middle Name:L
Last Name:JAMES-DAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-5027
Mailing Address - Country:US
Mailing Address - Phone:706-325-9417
Mailing Address - Fax:
Practice Address - Street 1:1307 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-5027
Practice Address - Country:US
Practice Address - Phone:706-325-9417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor