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Individual

MR. THOMAS KEEN BADGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 728-7630
Mailing address
9167 EVES CIR, ROSWELL, GA 30076-4449
(404) 321-6111

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN132214
GA

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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