Individual
DR. CASEY LEWIS BALKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7758
(770) 793-7755
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5178
(770) 793-7755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
079188
GA
Other
Enumeration date
05/21/2014
Last updated
12/29/2017
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