Provider Demographics
NPI:1013031509
Name:BAHR, HELGA ANNALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:HELGA
Middle Name:ANNALINA
Last Name:BAHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNALINA
Other - Middle Name:HELGA
Other - Last Name:BAHR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 680518
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-0009
Mailing Address - Country:US
Mailing Address - Phone:770-988-8554
Mailing Address - Fax:
Practice Address - Street 1:580 ATLANTA COUNTRY CLUB DRIVE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-0009
Practice Address - Country:US
Practice Address - Phone:770-988-8554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA35811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35811OtherGA STATE LICENSE
ORMD27256OtherOR STATE LICENSE
GA35811OtherGA STATE LICENSE