Tereasa A Ballay in Fayetteville - Pediatrics

Tereasa A Ballay - NPI 1932156874

Tereasa A Ballay is a Pediatrics in Fayetteville, Georgia. Tereasa A Ballay practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tereasa A Ballay is 1932156874. The last update date is 2007-07-08.

Tereasa A Ballay's current location address is 735 S Glynn St, Fayetteville, Georgia. You can contact this provider via phone number 7704614126 and fax number 7704618852. The mailing address for Tereasa A Ballay is 735 S Glynn St, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tereasa A Ballay
Address 735 S Glynn St, Fayetteville, Georgia
Phone Number 7704614126
Fax Number 7704618852
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1932156874
Provider Enumeration Date 2006-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 735 S Glynn St
City Fayetteville
State Georgia (GA)
Post Code 30214
Phone Number 7704614126
Fax Number 7704618852

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 56027
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
591336957A GA --

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FAQs about Tereasa A Ballay

What is the unique 10-digit identifier code issued to Tereasa A Ballay by the Centers for Medicare & Medicaid Services?

The Tereasa A Ballay has been assigned the NPI (National Provider Identifier) 1932156874 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Tereasa A Ballay's facilities are situated?

The facilities of Tereasa A Ballay are physically located at the following address: 735 S Glynn St, Fayetteville, GA, 30214.

What is the Tereasa A Ballay's specialty and taxonomy code?

The Tereasa A Ballay's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Tereasa A Ballay receive the assignment of its 1932156874 from the Centers for Medicare & Medicaid Services?

The Tereasa A Ballay was issued its 1932156874 by the Centers for Medicare & Medicaid Services on 2006-05-27.

When was the information pertaining to Tereasa A Ballay most recently updated or revised?

The details related to Tereasa A Ballay, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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