| NPI | 1700274966 | 
|---|---|
| Doing Business As | BALLENTINE FAMILY MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | DARRELL C COVEN Director Of Ambulatory Srvc Finance 803-296-7301  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2014-12-22 | 
| Last Update Date | 2015-06-17 |