Individual
CHARLES BRANDON BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2382
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
063395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347408410A
—
GA
05
—
347408410B
—
GA
05
—
347408410C
—
GA
05
—
347408410D
—
GA
05
—
347408410E
—
GA
05
—
347408410F
—
GA
05
—
347408410G
—
GA
05
—
347408410H
—
GA
Enumeration date
05/18/2007
Last updated
03/20/2020
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