Healthcare Provider Details
I. General information
NPI: 1154204238
Provider Name (Legal Business Name): JULIE CHRISTINE BALTHASER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/28/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1035 RED BUD RD NE
CALHOUN GA
30701-6010
US
IV. Provider business mailing address
1035 RED BUD RD NE
CALHOUN GA
30701-6010
US
V. Phone/Fax
- Phone: 706-602-7800
- Fax:
- Phone: 706-602-7800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | GAA-NP004040 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.0039684 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: