Organization
KEVIN J. BAGGETT, DO,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BAGGETT DO (OWNER)
(478) 953-4844
Entity
Organization
Contact information
Practice address
500 SPILLERS WAY, WARNER ROBINS, GA 31088-0513
(478) 953-4844
(478) 953-4824
Mailing address
500 SPILLERS WAY, WARNER ROBINS, GA 31088-0513
(478) 953-4844
(478) 953-4824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6312
MEDICARE GROUP NUMBER
GA
Enumeration date
08/11/2006
Last updated
04/13/2009
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