| Carolyn O. Ballantine, Md. Pllc | |
|
1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 | |
| (919) 593-5548 | |
| (919) 929-8900 |
| Full Name | Carolyn O. Ballantine, Md. Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1709 Legion Rd, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Carolyn Oates Ballantine (SOLE MEMBER/ORGANIZER) |
| Authorized Official Contact | 9195935548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn O. Ballantine, Md. Pllc 1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 Ph: (919) 593-5548 | Carolyn O. Ballantine, Md. Pllc 1709 Legion Rd Suite 224 Chapel Hill NC 27517-2375 Ph: (919) 593-5548 |
| NPI Number | 1649427436 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649427436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200201134 (North Carolina) | Primary |
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