Provider Demographics
NPI:1558384065
Name:BATCHELOR, CURTIS A (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:BATCHELOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 AMBULANCE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3865
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:770-836-9261
Practice Address - Street 1:204 ALLEN MEMORIAL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-2047
Practice Address - Country:US
Practice Address - Phone:770-537-6500
Practice Address - Fax:770-824-2600
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D28880Medicare UPIN