Provider Demographics
NPI:1912462755
Name:VARNEY, BAILEY (PA-C)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:VARNEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3144
Mailing Address - Country:US
Mailing Address - Phone:770-548-3964
Mailing Address - Fax:
Practice Address - Street 1:11315 JOHNS CREEK PKWY STE 340
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2646
Practice Address - Country:US
Practice Address - Phone:770-709-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant