Ballentine Pediatrics, Llc in Irmo - Adolescent Medicine
Ballentine Pediatrics, Llc - NPI 1629234141
Ballentine Pediatrics, Llc is a Adolescent Medicine in Irmo, South Carolina. Ballentine Pediatrics, Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Ballentine Pediatrics, Llc is 1629234141. The last update date is 2008-08-04.
Ballentine Pediatrics, Llc's current location address is 11134 Broad River Rd, Irmo, South Carolina. You can contact this provider via phone number 8037320920 and fax number 8032272759. The mailing address for Ballentine Pediatrics, Llc is 11134 Broad River Rd, Irmo, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ballentine Pediatrics, Llc |
|---|---|
| Address | 11134 Broad River Rd, Irmo, South Carolina |
| Phone Number | 8037320920 |
| Fax Number | 8032272759 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PROV |
|---|---|
| Authorized Official Name | Geurkink Nicola Deanne |
| Credentials | MD |
| Telephone Number | 8037320920 |
NPI Number Detail
| NPI Number | 1629234141 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 11134 Broad River Rd |
|---|---|
| City | Irmo |
| State | South Carolina (SC) |
| Post Code | 290639668 |
| Phone Number | 8037320920 |
| Fax Number | 8032272759 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 19500 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 195005 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ballentine Pediatrics, Llc by the Centers for Medicare & Medicaid Services?
The Ballentine Pediatrics, Llc has been assigned the NPI (National Provider Identifier) 1629234141. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ballentine Pediatrics, Llc's facilities are situated?
The facilities of Ballentine Pediatrics, Llc are physically located at the following address: 11134 Broad River Rd, Irmo, SC, 290639668.
What is the Ballentine Pediatrics, Llc's area of specialization and corresponding taxonomy classification?
The Ballentine Pediatrics, Llc's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1629234141 to Ballentine Pediatrics, Llc?
The Ballentine Pediatrics, Llc received its 1629234141 assignment from the Centers for Medicare & Medicaid Services on 2008-08-04.
When was the information related to Ballentine Pediatrics, Llc most recently updated or refreshed?
The details pertaining to the Ballentine Pediatrics, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-04.
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