Organization
FERDINAND & ERESVITA BALATICO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERESVITA BALATICO M.D. (BUSINESS MANAGER)
(931) 363-8823
Entity
Organization
Contact information
Practice address
1109 E COLLEGE ST, PULASKI, TN 38478-4520
(931) 363-8823
(931) 363-1894
Mailing address
PO BOX 735, PULASKI, TN 38478-0735
(931) 363-8823
(931) 363-1894
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD14111
TN
Other
Enumeration date
08/08/2006
Last updated
04/20/2008
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