Search › Georgia › 1041C0700X
S. Bagley, LCSW
NPI 1023580800 · on the registry since 2018
Practice
- Address
- 148 Georgia Ave E Ste C
Fayetteville, GA 30214 - Phone
- (404) 968-4662
- Fax
- (404) 968-4562
Additional practice sites
- 1919 John Wesley Ave, College Park, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia