BALLANTYNE MEDICAL ASSOCIATES PLLC NPI 1184776130

NPI Information

BALLANTYNE MEDICAL ASSOCIATES PLLC is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BALLANTYNE MEDICAL ASSOCIATES PLLC NPI is 1184776130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12311 COPPER WAY
SUITE 100
CHARLOTTE, NC
ZIP 28277-386
Phone: (704) 540-1640
Fax: (704) 540-1639

The provider's authorized official is Steven Robert Bauer .
The authorized official title is President and has the following contact phone number (704) 540-1640.

The CLIA number assigned to this NPI record is 34D2144738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/18/2011.

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:

Other Identifiers

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