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NPI Code Detail

MEDICARE: MRS. MELANIE JAI BALFOUR ARNP

MEDICARE: MRS. MELANIE JAI BALFOUR ARNP
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
1363LA2200XAdult Health Nurse Practitioner9267972FL

General Provider Information

NPI Number : 1003125410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE JAI BALFOUR ARNP
Provider Business Mailing Address
First Line : 100 S MADISON ST
Second Line :
City : THOMASVILLE
State : GA
Zip : 31792-5473
Country : US
Telephone Number : 229-236-0831
Fax Number : 229-236-0871
Provider Business Practice Location Address
First Line : 100 S MADISON ST
Second Line :
City : THOMASVILLE
State : GA
Zip : 31792-5473
Country : US
Telephone Number : 229-236-0831
Fax Number : 229-236-0871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2010
Last Update Date : 04/01/2021

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