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Individual

SCOTT DAVID BADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3550 PRESTON RIDGE RD, DEPT OF PEDIATRICS, ALPHARETTA, GA 30005-3821
(404) 365-0966
(732) 564-0212
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G5928
GA
208000000X
Pediatrics Physician
MA69791
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8780609
NJ
Enumeration date
08/09/2006
Last updated
01/07/2022
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