Individual
DR. ERESVITA BALATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 E. COLLEGE ST., PULASKI, TN 38478
(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
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD14112
TN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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