Individual
DR. SCOTT ERIC BALOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
1407 UNION AVE, STE 700, MEMPHIS, TN 38104-3641
(706) 432-4858
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
48264
TN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
37475
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606317B
—
GA
Enumeration date
04/01/2009
Last updated
02/05/2016
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