BALIGA FAMILY PRACTICE PC NPI 1700094562

NPI Information

NPI: 1700094562
Provider Name: BALIGA FAMILY PRACTICE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1069254

Address:
1400 BRADLEY LAKE BLVD
COLUMBUS, GA
ZIP 31904
Phone: (706) 593-7417
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BALIGA FAMILY PRACTICE PC is a primary care clinic center in Columbus, GA. BALIGA FAMILY PRACTICE PC NPI is 1700094562. The provider is registered as an organization entity type.

The provider's business location address is:

1400 BRADLEY LAKE BLVD
COLUMBUS, GA
ZIP 31904-688
Phone: (706) 593-7417
Fax: (706) 507-2059

The provider's authorized official is Bantwal P Baliga .
The authorized official title is Physician and has the following contact phone number (706) 507-2050.

The CLIA number assigned to this NPI record is 11D1069254 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 9/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	056683	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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