Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 002030 | GA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 063994 | GA |
NPI | 1285811315 |
---|---|
Provider Name | Dr. Martina Badell |
First Address | Atlanta, GA 30314 |
Second Address | Atlanta, GA 30303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 08/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
885855741 | (05) | GA |