Individual
JEFFERY ALLAN BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(229) 433-1000
Mailing address
2310 N PATTERSON ST BLDG C, VALDOSTA, GA 31602-2500
(229) 244-6852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223722
GA
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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