Provider Demographics
NPI:1184985111
Name:MEDICAL HEALTH GROUP LLC
Entity type:Organization
Organization Name:MEDICAL HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BALZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-847-3623
Mailing Address - Street 1:606 S ZETTEROWER AVE
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-7189
Mailing Address - Country:US
Mailing Address - Phone:386-847-3623
Mailing Address - Fax:281-569-4624
Practice Address - Street 1:606 S ZETTEROWER AVE
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-7189
Practice Address - Country:US
Practice Address - Phone:386-847-3623
Practice Address - Fax:281-569-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty