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Individual

DR. PRASHANT BALIGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-8575
Mailing address
2801 CHANCELLORSVILLE DR, APT 118, TALLAHASSEE, FL 32312-4815
(989) 906-2397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64756
GA
207R00000X
Internal Medicine Physician
Primary
ME122015
FL

Other

Enumeration date
06/29/2007
Last updated
03/11/2022
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