MR. LAURENCE HAVENS BALLOU MD NPI 1962487306

NPI Information

  • NPI: 1962487306
  • Provider Name: MR. LAURENCE HAVENS BALLOU, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 1011 N FRASER ST
    GEORGETOWN, SC
    ZIP 29440
  • Phone: (843) 527-3428

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NPI Details

MR. Laurence Havens Ballou, MD is a gastroenterology internal medicine in Georgetown, SC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MR. Laurence Havens Ballou, MD NPI is 1962487306. 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:

1011 N FRASER ST
GEORGETOWN, SC
ZIP 29440-848
Phone: (843) 527-3428
Fax: (843) 546-8216

The enumeration date for this NPI number is 12/8/2005 and was last updated on 1/15/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology10488SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104880MEDICAIDSOUTH CAROLINA
2D05678MEDICARE UPIN
3D056785248MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA

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: 11/21/2025

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