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Contact Information

IAN C BALFOUR, MD
738 OLD NORCROSS RD
LAWRENCEVILLE, GA30046-4462
 Phone: 404-256-2593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for IAN C BALFOUR · (Male)

NPI # 1649375874
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 01/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R4D25
  • GA Medicaid 700216987A
  • MO Medicaid 201961901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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