FRED JACKSON BALLENGER

ROANOKE, VA
NPI1447258728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: VA  0101027649)
Enumeration Date2005-07-12
Last Update Date2021-03-29
Business Address
-- FRED JACKSON BALLENGER M.D.
2602 FRANKLIN RD SW
ROANOKE, VA 24014-1010
Phone number: 540-344-1400
Mailing Address
-- FRED JACKSON BALLENGER M.D.
2602 FRANKLIN RD SW
ROANOKE, VA 24014-1010
Phone number: 540-344-1400
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