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 |