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1598133548
VIRGINIA LYNN BALKCOM
FAYETTEVILLE, GA
NPI
1598133548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 7723)
Enumeration Date
2015-09-08
Last Update Date
2023-04-05
Business Address
VIRGINIA LYNN BALKCOM
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 404-351-1745
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Mailing Address
VIRGINIA LYNN BALKCOM
1500 CONCORD TER FL 5
SUNRISE, FL 33323-2815
Phone number:
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