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Contact Information

ERIC L BALFOUR, MD
2969 CURRAN DR N
JACKSON, MS39216-4121
 Phone: 601-200-3070
 Fax: 601-200-3172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ERIC L BALFOUR · (Male)

NPI # 1861442436
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 02/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18896
  • MO Medicaid 207209909
  • MS Medicaid 000671542
  • MS Medicaid 00671542
  • TN Medicaid 3329068
  • AR Other 83369 AR BCBS
  • MS Other 1861442436 NPI
  • TN Other 4108904 TN BCBS
Hospital affiliation(s)
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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