# FERDINAND & ERESVITA BALATICO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649280264
- **Authorized official:** DR. ERESVITA BALATICO M.D. (BUSINESS MANAGER)
- **Authorized official phone:** (931) 363-8823

## Contact information

- **Practice address:** 1109 E COLLEGE ST, PULASKI, TN 38478-4520
- **Practice address phone:** (931) 363-8823
- **Practice address fax:** (931) 363-1894
- **Mailing address:** PO BOX 735, PULASKI, TN 38478-0735
- **Mailing address phone:** (931) 363-8823
- **Mailing address fax:** (931) 363-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | MD14111 | TN | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 04/20/2008