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Individual

VIRGINIA LYNN BALKCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 351-1745
Mailing address
1500 CONCORD TER FL 5, SUNRISE, FL 33323-2815

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
7723
GA

Other

Enumeration date
09/08/2015
Last updated
04/05/2023
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