LAURENCE HAVENS BALLOU

GEORGETOWN, SC
NPI1962487306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: SC  10488)
Enumeration Date2005-12-08
Last Update Date2014-01-15
Business Address
Mr. LAURENCE HAVENS BALLOU MD
1011 N FRASER ST
GEORGETOWN, SC 29440-2848
Phone number: 843-527-3428
Mailing Address
Mr. LAURENCE HAVENS BALLOU MD
1011 N FRASER ST
GEORGETOWN, SC 29440-2848
Phone number: 843-527-3428
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