BALLANTYNE FAMILY MEDICINE PC

CHARLOTTE, NC
NPI1376804971
Entity TypeOrganization
Authorized ContactRICHARD T. WYNN
President
704-208-4134
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2011-01795)
Enumeration Date2012-05-31
Last Update Date2016-02-24
Business Address
BALLANTYNE FAMILY MEDICINE PC
16147 LANCASTER HWY SUITE 140
CHARLOTTE, NC 28277-4782
Phone number: 704-208-4134
Mailing Address
BALLANTYNE FAMILY MEDICINE PC
16147 LANCASTER HWY SUITE 140
CHARLOTTE, NC 28277-4782
Phone number: 704-208-4134
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