Individual
ROBERT E BADWEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9280 HIGHWAY 5, STE A, DOUGLASVILLE, GA 30134
(770) 949-2250
(770) 949-1764
Mailing address
PO BOX 609, DOUGLASVILLE, GA 30133
(770) 949-2250
(770) 949-1764
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00762077D
—
GA
05
—
00762077E
—
GA
Enumeration date
04/28/2006
Last updated
07/08/2007
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