Individual
DR. ISTVAN BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1299 GA HWY 57, BETWEEN 1-95 AND HWY 17 @ EULONIA, TOWNSEND, GA 31331-8128
(912) 832-4495
(912) 832-4852
Mailing address
147 BELLE POINT PKWY, BRUNSWICK, GA 31525-2174
(912) 466-0766
(912) 832-4852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025524
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00293103A
—
GA
Enumeration date
08/26/2005
Last updated
09/03/2014
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