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Individual

DR. CARY BALZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
125 N COLLEGE ST, STATESBORO, GA 30458-5387
(912) 489-2888
(912) 489-2888
Mailing address
3948 3RD ST S # 302, JACKSONVILLE, FL 32250-5847
(904) 303-8810

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005868
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00133795
RAILROAD MEDICARE
GA
Enumeration date
08/03/2006
Last updated
07/08/2007
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