Provider Demographics
NPI:1912357096
Name:BALAS, DARLA (NP)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:BALAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7813 SPIVEY STATION BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LAKE SPIVEY
Practice Address - State:GA
Practice Address - Zip Code:30236-2900
Practice Address - Country:US
Practice Address - Phone:770-507-0070
Practice Address - Fax:770-507-7463
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN228938363L00000X
MI4704374874363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner