Individual
DR. GEORGE ROBERT BADDOUR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1926 ALCOA HWY, BLDG. F, SUITE 210, KNOXVILLE, TN 37920-1545
(865) 546-2663
(865) 546-9047
Mailing address
1926 ALCOA HWY, BLDG. F, SUITE 210, KNOXVILLE, TN 37920-1545
(865) 546-2663
(865) 546-9047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12140
TN
207XX0801X
Orthopaedic Trauma Physician
12140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940072
UNITED HEALTH CARE
TN
01
—
100021943
TENNCARE
TN
01
—
200030080
RAILROAD MEDICARE
TN
05
—
3011599
—
TN
01
—
3071400
BLUE CROSS BLUE SHIELD
TN
01
—
419940880
TRICARE
TN
01
—
4664594
AETNA
TN
01
—
TN0111
JOHN DEERE HEALTHCARE
TN
01
—
TN0112
JOHN DEERE HEALTHCARE
TN
01
—
TN0175
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/08/2006
Last updated
03/07/2017
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