Provider Demographics
NPI:1427068501
Name:BATKO, RENATA H (MD)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:H
Last Name:BATKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 PEACHTREE PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:770-844-7439
Mailing Address - Fax:770-844-6255
Practice Address - Street 1:634 PEACHTREE PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-844-7439
Practice Address - Fax:770-844-6255
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
508121OtherBCBS
GA00723918BMedicaid
5092520OtherAETNA
GA00723918BMedicaid
508121OtherBCBS