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Individual

PABLO E BALBOA-MARCIACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL CT, CALHOUN, GA 30701-2077
(706) 602-8200
(706) 602-1354
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055409
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135418395C
GA
Enumeration date
07/14/2006
Last updated
12/13/2018
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