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Individual

MRS. HARJIT BALA MAC

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
816 N 3RD ST, ALBEMARLE, NC 28001
(704) 983-3314
(704) 983-3315
Mailing address
PO BOX 1230, ALBEMARLE, NC 28002
(704) 988-3314
(704) 983-3315

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24607
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53637
BCBS
05
8953637
NC
Enumeration date
02/01/2006
Last updated
07/08/2007
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