Individual
BROOKE POINDEXTER BALUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1000 JOHNSON FERRY RD, SUITE 300, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FERRY RD, SUITE 300, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN107100
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000784715E
—
GA
05
—
000784715I
—
GA
Enumeration date
01/24/2007
Last updated
02/26/2018
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