Individual
MICHAEL CHANNING BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 LAKE BRANDT RD UNIT B, GREENSBORO, NC 27455-8415
(336) 643-5800
(336) 643-7474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 643-5800
(336) 643-7474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009901103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173A
BCBSNC
NC
05
—
89129PG
—
NC
05
—
Q0110M
—
SC
Enumeration date
07/12/2006
Last updated
12/19/2023
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