Provider Demographics
NPI:1942343454
Name:BAUER, JOSEPH GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GERARD
Last Name:BAUER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4165 OLD MILTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4468
Mailing Address - Country:US
Mailing Address - Phone:770-667-0904
Mailing Address - Fax:770-667-0206
Practice Address - Street 1:4165 OLD MILTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4468
Practice Address - Country:US
Practice Address - Phone:770-667-0904
Practice Address - Fax:770-667-0206
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA030267208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery