Individual
ZACHARY RYAN BALEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2061 BEVERLY RD, GAINESVILLE, GA 30501
(770) 532-4444
Mailing address
2061 BEVERLY RD, GAINESVILLE, GA 30501-2034
(770) 532-4444
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
80039
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
07/12/2018
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