Individual
PAUL W BIDDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-2771
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
057934
GA
207ZP0101X
Anatomic Pathology Physician
35053216B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008763
ANTHEM
OH
01
—
0661552
AETNA
OH
05
—
0788625
—
OH
01
—
1120272
UNITED HEALTHCARE
OH
05
—
200000650A
—
IN
05
—
64865942
—
KY
Enumeration date
07/03/2006
Last updated
10/29/2012
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