Individual
ANAAMIKA KRITHI BALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5744 THOMASTON RD, MACON, GA 31220-5455
(706) 339-8215
Mailing address
5744 THOMASTON RD, MACON, GA 31220-5455
(706) 339-8215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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