Organization
BALIGA FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANTWAL P BALIGA M.D (PHYSICIAN)
(706) 507-2050
Entity
Organization
Contact information
Practice address
1400 BRADLEY LAKE BLVD, COLUMBUS, GA 31904-3688
(706) 593-7417
(706) 507-2059
Mailing address
1400 BRADLEY LAKE BLVD, COLUMBUS, GA 31904-3688
(706) 507-2050
(706) 507-2059
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
056683
GA
Other
Enumeration date
05/17/2007
Last updated
09/13/2022
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