person
Dr. Niti Bhalla Carlson, MD
Gynecology Physician in Evans, Georgia
NPI 1972599363

Niti Bhalla Carlson is a Gynecology Physician based in Martinez, GA and is specialized in Gynecology. Niti Bhalla Carlson practices in Evans, GA and has the professional credentials of MD. The NPI Number for Niti Bhalla Carlson is 1972599363 and holds a License No. 045052 (Georgia).

The current practice location address for Niti Bhalla Carlson is 465 N Belair Rd Ste 2E, Evans, GA and can be reached out via phone at 706-855-5510 and via fax at 706-855-7254.

Location: 465 N Belair Rd Ste 2E, Evans, GA, 30907-9147
person
Provider Profile Details
NPI Number
1972599363
Provider Name
Niti Bhalla Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
465 N Belair Rd Ste 2E, Evans, GA, 30907-9147
Phone Number
706-855-5510
Fax Number
706-855-7254
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G45052 01 SC MEDICAID
00914955B 05 GA
institution
Provider Business Practice Location Address Details
Address
465 N Belair Rd Ste 2E
City
State
Zip
30809-3190
Phone Number
706-855-5510
Fax Number
706-855-7254
person
Provider Business Mailing Address Details
Address
465 N Belair Rd Ste 2E
City
State
Zip
30809-3190
Phone Number
706-855-5510
Fax Number
706-855-7254
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
045052 (Georgia)
Definition
Definition to come...
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