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1588140297
FNU PRAVEEN BALASUBRAMANIAN
MACON, GA
NPI
1588140297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL 27736)
Enumeration Date
2018-07-16
Last Update Date
2021-06-26
Business Address
FNU PRAVEEN BALASUBRAMANIAN MD
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-7550
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Mailing Address
FNU PRAVEEN BALASUBRAMANIAN MD
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number:
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