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Contact Information

BADIA MEDICAL, LLC
107 PEACOCK DRIVE
WARNER ROBINS, GA31088
 Phone: 478-922-3074
 Fax: 478-922-3076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BADIA MEDICAL LLC · (Female)

NPI # 1679584601
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2006
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 047353
  • GA Medicaid 000834809
  • GA Medicaid 003171301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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