Individual
LUKE MICHELE BALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51657
TN
208M00000X
Hospitalist Physician
Primary
081113
GA
208M00000X
Hospitalist Physician
51657
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10311I7134
MEDICARE
—
05
—
7100341890
—
KY
05
—
Q009241
—
TN
Enumeration date
04/11/2011
Last updated
12/08/2020
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