Healthcare Provider Details

I. General information

NPI: 1093627523
Provider Name (Legal Business Name): SALVATORE BADALAMENTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 LIMESTONE PKWY
GAINESVILLE GA
30501-2089
US

IV. Provider business mailing address

2500 LIMESTONE PKWY
GAINESVILLE GA
30501-2089
US

V. Phone/Fax

Practice location:
  • Phone: 943-279-5934
  • Fax:
Mailing address:
  • Phone: 943-279-5934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN325835
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: