Harriette L Badger, PA
Individual provider Active NPI Physician Assistant · Conley, GA
NPI 1114044245 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114044245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 002649 (GA)
- Practice address
- 4223 Highway 42
Conley, GA 30288 - Phone
- (615) 778-4066
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002649 | GA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002649 | GA | Yes |
Addresses
Primary practice location
4223 Highway 42
Conley, GA 30288
Mailing address
720 Cool Springs Blvd
Suite 300
Franklin, TN 37067-2626
Phone (615) 778-4066
Other providers in Conley, GA
- Always There Staffing Solutions LLC
- Amenity Staffing Inc.
- American Current Care PA
- Fremetia Kaye Anderson
- Tiffany M Averette-Smith
- Annita Binta Bangura
- Egheosa Bazuaye
- Bee Social Adult Day Program
- Ashley Belizaire
- Christopher Boatman
All providers in Conley, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.