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1164052726
BALLANTYNE EMERGENCY PHYSICIANS PLLC
CHARLOTTE, NC
NPI
1164052726
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
Director Of Credentialing
770-874-5400
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2020-01-23
Last Update Date
2020-06-17
Business Address
BALLANTYNE EMERGENCY PHYSICIANS PLLC
11516 PROVIDENCE RD
CHARLOTTE, NC 28277-2691
Phone number: 704-667-0370
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Mailing Address
BALLANTYNE EMERGENCY PHYSICIANS PLLC
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone number: 770-874-5400
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