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PRASHANT BALIGA M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1013114305

Individual Registrant:
 PRASHANT  BALIGA M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: 229-228-8575  Fax: --

Contact information for business:
2801 CHANCELLORSVILLE DR APT 118 TALLAHASSEE, FL 32312-4815 US
Tel: 989-906-2397  Fax: --

Registration Information:
NPI: 1013114305
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA64756

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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