Individual
ROSE BENIGNA BADARUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 TREE LANE RD, SUITE 160, SNELLVILLE, GA 30078-6782
(770) 979-3989
(770) 979-4330
Mailing address
1700 TREE LANE RD, SUITE 160, SNELLVILLE, GA 30078-6782
(770) 979-3989
(770) 979-4330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553616
—
GA
Enumeration date
05/09/2006
Last updated
07/08/2007
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