FNU PRAVEEN BALASUBRAMANIAN

MACON, GA
NPI1588140297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  27736)
Enumeration Date2018-07-16
Last Update Date2021-06-26
Business Address
FNU PRAVEEN BALASUBRAMANIAN MD
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-7550
Mailing Address
FNU PRAVEEN BALASUBRAMANIAN MD
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number:
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