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CHARLES ELLIS BALENTINE NPI 1164936878


NPI Information

NPI: 1164936878
Provider Name: CHARLES ELLIS BALENTINE
Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Individual

Specialization: Laboratory Management

Address:
315 DEADERICK ST STE 1550
NASHVILLE, TN
ZIP 37238
Phone: (615) 521-4380
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Charles Ellis Balentine is a laboratory management specialist technologist pathology in Nashville, TN. Charles Ellis Balentine NPI is 1164936878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 DEADERICK ST STE 1550
NASHVILLE, TN
ZIP 37238-003
Phone: (615) 521-4380
Fax: (615) 521-4380

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246QL0900XSpecialist/Technologist, PathologyLaboratory Management44D2125377TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
144D2125377OTHERTENNESSEELICENSURE/LAB (CMS)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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