Individual
MR. SYED S BADARUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 TREE LN, SUITE 160, SNELLVILLE, GA 30078-6782
(770) 979-3989
(770) 979-4330
Mailing address
1700 TREE LN, SUITE 160, SNELLVILLE, GA 30078-6782
(770) 979-3989
(770) 979-4330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
823
GA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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