Individual
MICHAEL A. BAKARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1602 VERNON RD STE 200, LAGRANGE, GA 30240-4129
(706) 880-7252
(770) 999-2687
Mailing address
1602 VERNON RD STE 200, LAGRANGE, GA 30240-4129
(706) 880-7252
(770) 999-2687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02655
KY
207V00000X
Obstetrics & Gynecology Physician
060793
GA
207VG0400X
Gynecology Physician
Primary
060793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369572
ANTHEN BC/BS
KY
01
—
060793
GA LIC #
GA
05
—
104792175A
—
GA
01
—
1224988
CHA
KY
01
—
364489332
TAX I.D. NUMBER FOR RWHC
—
05
—
64023674
—
KY
01
—
7238699
AETNA HEALTH INS.
KY
Enumeration date
07/13/2006
Last updated
08/18/2022
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