Organization
NITI BHALLA CARLSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITI BHALLA CARLSON M.D. (PRESIDENT)
(706) 736-2273
Entity
Organization
Contact information
Practice address
2258 WRIGHTSBORO RD, SUITE 200, AUGUSTA, GA 30904-4887
(706) 736-2273
(706) 736-7171
Mailing address
2258 WRIGHTSBORO RD, SUITE 200, AUGUSTA, GA 30904-4887
(706) 736-2273
(706) 736-7171
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
045052
GA
Other
Enumeration date
06/05/2013
Last updated
06/11/2013
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