Active NPIIndividual provider

Georgia Ballem, MD

Family Medicine in Waterville, Maine

NPI Number1437671286
Practice location
149 Main St, Waterville, ME 04901-6623
Fax
207-453-3093
Last updated
July 13, 2017

Georgia Ballem is a Family Medicine based in Waterville, ME. Georgia Ballem practices in Waterville, ME and has the professional credentials of MD. The NPI Number for Georgia Ballem is 1437671286 and holds a License No. EC171046 (ME). The current practice location address for Georgia Ballem is 149 Main St, Waterville, ME 04901-6623 and can be reached out via phone at 207-453-0322 and via fax at 207-453-3093.

Provider Profile Details

NPI Number
1437671286
Provider Name
Georgia Ballem
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
149 Main St, Waterville, ME 04901-6623
Phone Number
207-453-0322
Fax Number
207-453-3093
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2017
Last Update Date
July 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Main St
Waterville, ME 04901-6623
State
Maine
Zip
04901-6623
Phone Number
207-453-0322
Fax Number
207-453-3093
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
10 Water St Ste 202
Waterville, ME 04901-6565
City
Waterville
State
ME
Zip
04901-6565
Phone Number
207-873-9841
Fax Number
207-873-9845

License Information

License Number
EC171046
License State
ME
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Georgia Ballem, MD?

The NPI number of Georgia Ballem, MD is 1437671286. It was assigned on July 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Georgia Ballem, MD?

Georgia Ballem, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number EC171046.

Where does Georgia Ballem, MD practice?

The practice location is 149 Main St, Waterville, ME 04901-6623. The office can be reached at 207-453-0322 (phone) or 207-453-3093 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437671286 directly on the NPPES registry website.

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