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NPI Code Detail

MEDICARE: ROBERT S BALSLEY MD

MEDICARE: ROBERT S BALSLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician019636GA

General Provider Information

NPI Number : 1871635896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT S BALSLEY MD
Provider Business Mailing Address
First Line : 14089 ABERCORN STREET
Second Line :
City : SAVANNAH
State : GA
Zip : 31419
Country : US
Telephone Number : 912-350-2121
Fax Number :
Provider Business Practice Location Address
First Line : 14089 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-1966
Country : US
Telephone Number : 912-350-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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Directions to “ ROBERT S BALSLEY MD” Practice Location

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