Individual
BHAVNA BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 PRINCE AVE # 70, ATHENS, GA 30606-2762
(706) 475-7055
Mailing address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD471706
PA
Other
Enumeration date
03/29/2017
Last updated
10/25/2021
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