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Individual

MR. RICHARD W BAEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 COWLES CLINC WAY STE W-200, GREENSBORO, GA 30642-4539
(706) 923-2002
(706) 999-1540
Mailing address
1000 COWLES CLINC WAY STE W-200, GREENSBORO, GA 30642-4539
(706) 923-2002
(706) 999-1540

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
059429
GA
207RN0300X
Nephrology Physician
17721
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64177215
KY
Enumeration date
09/07/2006
Last updated
08/15/2012
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