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NPI Code Detail

MEDICARE: DARLA BALAS N.P.

MEDICARE:   DARLA  BALAS  N.P.
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
1363L00000XNurse PractitionerRN228938GA
2363L00000XNurse Practitioner4704374874MI

General Provider Information

NPI Number : 1912357096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLA BALAS N.P.
Provider Business Mailing Address
First Line : 1100 JOHNSON FERRY RD
Second Line : SUITE 510
City : SANDY SPRINGS
State : GA
Zip : 30342-1709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7813 SPIVEY STATION BLVD
Second Line : SUITE 210
City : LAKE SPIVEY
State : GA
Zip : 30236-2900
Country : US
Telephone Number : 770-507-0070
Fax Number : 770-507-7463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 11/11/2022

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Directions to “ DARLA BALAS N.P.” Practice Location

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