| NPI | 1154356848 |
|---|---|
| Former Legal Business Name | BRIAN W BADGER PA |
| Entity Type | Organization |
| Authorized Contact | CHERYL R SUMNER Insurance/Collections 229-225-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 003435) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-06-19 |