Individual
GREGG A BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1116
(770) 422-8505
(770) 424-7449
Mailing address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1116
(770) 422-8505
(770) 424-7449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
034108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000532067C
—
GA
05
—
000532067E
—
GA
05
—
000532067G
—
GA
01
—
0700203
UNITED HEALTHCARE
GA
01
—
10056227
AMERIGROUP
GA
01
—
1865269-001
CIGNA
GA
01
—
323730
WELLCARE
GA
01
—
481285
BCBS
GA
01
—
5884019
AETNA
FL
Enumeration date
02/20/2006
Last updated
02/16/2017
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