Individual
DR. FERDINAND A. BALATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 EAST COLLEGE STREET, PULASKI, TN 38478
(931) 363-8823
(931) 363-1894
Mailing address
PO BOX 735, PULASKI, TN 38478-0735
(931) 363-8823
(931) 363-1894
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD14111
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000034
—
TN
Enumeration date
08/08/2006
Last updated
03/07/2008
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