Provider Demographics
NPI:1497958235
Name:BALTZ, JOSEPH GEORGE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GEORGE
Last Name:BALTZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8000 WOLF RIVER BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1754
Mailing Address - Country:US
Mailing Address - Phone:901-747-3630
Mailing Address - Fax:901-747-4039
Practice Address - Street 1:8000 WOLF RIVER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1754
Practice Address - Country:US
Practice Address - Phone:901-747-3630
Practice Address - Fax:901-747-4039
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2013-12-13
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Provider Licenses
StateLicense IDTaxonomies
TN49718207RG0100X
SC32518207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology