National Provider Identifier Database

BALLENTINE PEDIATRICS LLC
Adolescent Medicine

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.


Contact Information

BALLENTINE PEDIATRICS, LLC
11134 BROAD RIVER RD
SUITE D
IRMO, SC29063-9668
Phone: 803-732-0920
Fax: 803-227-2759
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for BALLENTINE PEDIATRICS, LLC

NPI Number 1629234141
Legal business name
LBN
BALLENTINE PEDIATRICS, LLC
Authorized official DEANNE GEURKINK - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 08/04/2008
Last updated 08/04/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 19500
  • SC Medicaid: 195005

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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