# PLANTATION GYNECOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brian W Badger PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154356848
- **Authorized official:** CHERYL R SUMNER (INSURANCE/COLLECTIONS)
- **Authorized official phone:** (229) 225-9929

## Contact information

- **Practice address:** 814 GORDON AVE, THOMASVILLE, GA 31792-6611
- **Practice address phone:** (229) 225-9929
- **Practice address fax:** (229) 225-9915
- **Mailing address:** 814 GORDON AVE, THOMASVILLE, GA 31792-6611
- **Mailing address phone:** (229) 225-9929
- **Mailing address fax:** (229) 225-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 003435 | GA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 06/19/2008