Individual
MRS. CHINTI X BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 PEACHTREE STREET NE, 4-4269, ATLANTA, GA 30808
(404) 686-2500
(404) 686-4479
Mailing address
550 PEACHTREE STREET NE, ATLANTA, GA 30808
(404) 686-2500
(404) 686-4479
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
052629
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
052629
GA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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