Individual
DR. BRETT CHANDLER BAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501
(770) 535-9391
(770) 533-4701
Mailing address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-9391
(770) 533-4701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000702523BF
—
GA
05
—
000702523BG
—
GA
05
—
000702523BH
—
GA
05
—
00702523C
—
GA
01
—
300072216
RAILROAD MEDICARE
GA
01
—
581177261A
MEDICARE GRP PROV #
GA
Enumeration date
05/01/2006
Last updated
12/03/2019
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