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1831501048
CASEY LEWIS BALKEMA
MARIETTA, GA
NPI
1831501048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 079188)
Enumeration Date
2014-05-21
Last Update Date
2017-12-29
Business Address
DR. CASEY LEWIS BALKEMA D.O.
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-7758
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Mailing Address
DR. CASEY LEWIS BALKEMA D.O.
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-5178
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