Sheila A. Balog, Ph.D., Pc

LBN: Sheila A. Balog, Ph.D., Pc
Sheila A. Balog, Ph.D., Pc is an health care organization with primary practice located at 55 Jonesboro St , Mcdonough GA 30253-3164. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Sheila A. Balog, Ph.D., Pc can be contacted via phone (678) 583-4975, or through Balog, Sheila A via phone (678) 583-4975.

Contact Information

Primary practice address
55 Jonesboro St Mcdonough GA 30253-3164
Phone: (678) 583-4975
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Balog, Sheila A PHD
Phone: (678) 583-4975

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X PSY2369 Georgia

Profile Details

NPI number 1033250873
LBN Legal business name Sheila A. Balog, Ph.D., Pc
DBA Doing business as
Authorized official Balog, Sheila A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033250873 NPPES
Georgia MEDICAID 00857073C

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