Georgia Ballem, MD
Family Medicine in Waterville, ME. Individual provider (NPI-1).
NPI number1437671286
StatusActive
Last updated in NPPESJul 13, 2017
Details
- NPI
- 1437671286
- Entity type
- Individual (NPI-1)
- Name
- Georgia Ballem
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2017
- Last updated
- Jul 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | EC171046 | ME | Yes |
Practice location
149 Main StWaterville, ME 04901-6623
Phone 207-453-0322 · Fax 207-453-3093
Mailing address
10 Water St Ste 202Waterville, ME 04901-6565
Phone 207-873-9841 · Fax 207-873-9845
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