NPI | 1154354827 |
---|---|
Doing Business As | LEXINGTON FAMILY PRACTICE BALLENTINE |
Entity Type | Organization |
Authorized Contact | MELINDA SARVIS Executive VP 803-791-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-08 |
Last Update Date | 2018-09-17 |