Individual
DR. NITI BHALLA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
465 N BELAIR RD STE 2E, EVANS, GA 30809-3190
(706) 855-5510
(706) 855-7254
Mailing address
3829 HONORS WAY, MARTINEZ, GA 30907-9147
(706) 855-5929
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
045052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00914955B
—
GA
01
—
G45052
MEDICAID
SC
Enumeration date
09/21/2005
Last updated
05/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us