Organization
BADIA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DEFORE (OPERATIONS MANAGER)
(478) 508-3308
Entity
Organization
Contact information
Practice address
2001 MELROSE PL, KATHLEEN, GA 31047-2873
(615) 738-6463
Mailing address
2001 MELROSE PL, KATHLEEN, GA 31047-2873
(615) 738-6463
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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