Individual
MISS REBECCA J BADACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 CARLTON ST, UGA, UNIVERISTY HEALTH CENTER, ATHENS, GA 30602-1755
(706) 542-8636
(706) 542-0214
Mailing address
55 CARLTON ST, UGA, UNIVERISTY HEALTH CENTER, ATHENS, GA 30602-1755
(706) 542-8636
(706) 542-0214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
004713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332876
—
NH
Enumeration date
03/13/2008
Last updated
10/09/2009
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