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Individual

DR. GEORGE ROBERT BADDOUR JR.

Active
Find providers by NPI
Individual

DR. GEORGE ROBERT BADDOUR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
Update your record

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