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Individual

DAVID A BAKKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(678) 344-1960
Mailing address
2123 MEADOWCLIFF DR NE, ATLANTA, GA 30345-3540
(404) 406-3458

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
042167
GA

Other

Enumeration date
04/26/2006
Last updated
11/13/2007
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