LEE BALOS

AUSTELL, GA
NPI1871556464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN108726)
Enumeration Date2006-04-06
Last Update Date2009-12-15
Business Address
-- LEE BALOS CRNA
3950 AUSTELL RD
AUSTELL, GA 30106
Phone number: 770-732-3649
Mailing Address
-- LEE BALOS CRNA
PO BOX 155
AUSTELL, GA 30168-1002
Phone number: 770-732-3649