Baggett, Charles Brandon

Baggett, Charles Brandon is an individual health care provider with primary practice located at 504 Redmond Rd Nw , Rome GA 30165-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baggett, Charles Brandon can be contacted via phone (706) 235-3855.

Contact Information

Primary practice address
504 Redmond Rd Nw Rome GA 30165-1416
Phone: (706) 235-3855
Fax: (706) 290-2382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 063395 Georgia

Profile Details

NPI number 1336357060
LBN Legal business name Baggett, Charles Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Mar 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336357060 NPPES
Georgia MEDICAID 347408410C
Georgia MEDICAID 347408410E
Georgia MEDICAID 347408410G
Georgia MEDICAID 347408410A
Georgia MEDICAID 347408410B
Georgia MEDICAID 347408410H
Georgia MEDICAID 347408410D
Georgia MEDICAID 347408410F

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