Individual
MS. VIDYA BALEGULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-7550
(478) 633-3235
Mailing address
743 SPRING STREET, SUITE 710, GAINESVILLE, GA 30501
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90617
GA
Other
Enumeration date
04/05/2019
Last updated
09/18/2023
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