BALLANTYNE MEDICAL ASSOCIATES PLLC is a non pharmacy dispensing site in Charlotte, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) BALLANTYNE MEDICAL ASSOCIATES PLLC NPI is 1114290632. The provider is registered as an organization entity type.
The provider's business location address is:
12311 COPPER WAY
SUITE 100
CHARLOTTE, NC
ZIP 28277-642
Phone: (704) 540-1640
The provider's authorized official is Carlos Jorge .
The authorized official title is Owner and has the following contact phone number (704) 540-1640.
The CLIA number assigned to this NPI record is 34D2005822 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/14/2012 and was last updated on 2/14/2012.