WENDY MICHELLE BALLENGER

OLIVE BRANCH, MS
NPI1710111372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: KY  R2208)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KY  R2208)
207R00000X Internal Medicine
(Licence: MS  MS25393)
208000000X Pediatrics
(Licence: MS  MS29353)
Enumeration Date2009-05-12
Last Update Date2023-02-10
Business Address
WENDY MICHELLE BALLENGER DO
7148 KERR STREET PLACE SUITE 110
OLIVE BRANCH, MS 38654-3865
Phone number: 662-222-6724
Mailing Address
WENDY MICHELLE BALLENGER DO
7148 KERR STREET PLACE SUITE 110
OLIVE BRANCH, MS 38654
Phone number: 662-222-6724
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