Pablo E Balboa-Marciack, MD
Family Medicine in Calhoun, GA. Individual provider (NPI-1).
NPI number1255357067
StatusActive
Last updated in NPPESDec 13, 2018
Details
- NPI
- 1255357067
- Entity type
- Individual (NPI-1)
- Name
- Pablo E Balboa-Marciack
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Dec 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 055409 | GA | Yes |
Practice location
100 Hospital CtCalhoun, GA 30701-2077
Phone 706-602-8200 · Fax 706-602-1354
Mailing address
Po Box 12938C/O Clinic Management
Calhoun, GA 30703
Phone 706-602-7800
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