Individual
NICOLE NABORS BALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2898 MAHAN DR STE 5, TALLAHASSEE, FL 32308-5462
(615) 221-4400
Mailing address
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217-5200
(615) 221-4400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28189
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME107560
FL
390200000X
Student in an Organized Health Care Education/Training Program
TL-833
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910546
—
AL
05
—
009910547
—
AL
05
—
009910548
—
AL
01
—
051542018
BCBS
AL
01
—
051542019
BCBS
AL
01
—
051542020
BCBS
AL
01
—
P00810644
RAILROAD, TRAVELERS
AL
Enumeration date
01/26/2007
Last updated
09/22/2022
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