Individual
COREY J BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
79680
AZ
207L00000X
Anesthesiology Physician
LP05895
RI
Other
Enumeration date
02/26/2018
Last updated
05/12/2026
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