Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 060040 | GA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 60040 | GA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 60040 | GA |
NPI | 1215117551 |
---|---|
Provider Name | Dr. Florence T Baralatei |
First Address | Macon, GA 31206-0800 |
Second Address | Macon, GA 31206-0800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2007 |
Last Update Date | 20/08/2020 |