Individual
JEREMY BAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 HAWTHORNE AVE STE J, ATHENS, GA 30606-2168
(706) 286-8344
(706) 286-8346
Mailing address
P.O. BOX 495, MEDLINK GEORGIA, COLBERT, GA 30628-0459
(706) 788-3234
(706) 788-2936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
006329
GA
Other
Enumeration date
02/28/2006
Last updated
02/26/2024
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