Individual
DR. LAURENCE BRUCE BALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-4411
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-4411
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
079046
GA
207RI0200X
Infectious Disease Physician
D0060299
MD
207RI0200X
Infectious Disease Physician
MD034197
DC
Other
Enumeration date
10/13/2005
Last updated
03/17/2018
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