Individual
ANNA BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 JOHNSON FERRY RD STE 600, ATLANTA, GA 30342-1739
(404) 256-4777
(404) 256-5515
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN266425
GA
363LF0000X
Family Nurse Practitioner
RN266425
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003239903A
—
GA
05
—
003239903B
—
GA
01
—
G22037A
MEDICARE PTAN
GA
Enumeration date
03/18/2020
Last updated
02/25/2021
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