| Sheila A. Balog, Ph.d., Pc | |
|
55 Jonesboro St Mcdonough GA 30253-3164 | |
| (678) 583-4975 | |
| Not Available |
| Full Name | Sheila A. Balog, Ph.d., Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 55 Jonesboro St, Mcdonough, Georgia |
| Authorized Official Name and Position | Sheila A Balog (PRESIDENT) |
| Authorized Official Contact | 6785834975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila A. Balog, Ph.d., Pc 55 Jonesboro St Mcdonough GA 30253-3164 Ph: (678) 583-4975 | Sheila A. Balog, Ph.d., Pc 55 Jonesboro St Mcdonough GA 30253-3164 Ph: (678) 583-4975 |
| NPI Number | 1033250873 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033250873 | NPI | - | NPPES |
| 00857073C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY2369 (Georgia) | Primary |
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