Individual provider · Type 1 NPI

Nicholas Mark Baloga, PA-C

Surgical Physician Assistant · Knoxville, TN

NPI number 1366764276 Active

Practice location

1932 Alcoa Hwy, Ste 360
Knoxville, TN 37920-1509

Fax (865) 544-6533

Other practice locations

  • 930 E Emerald Ave, Suite 511, Knoxville, TN 37917-4539 · (865) 647-3550

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1801 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1366764276

Nicholas Mark Baloga, PA-C's National Provider Identifier is 1366764276, issued on Feb 18, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Knoxville, TN. The record was last updated on Nov 20, 2019.