National Provider Identifier Database

BALLANTYNE MEDICAL ASSOCIATES PLLC
Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)


Contact Information

BALLANTYNE MEDICAL ASSOCIATES PLLC
12311 COPPER WAY
SUITE 100
CHARLOTTE, NC28277-3642
Phone: 704-540-1640
Fax:
Website:
Specialty Taxonomy Code
* Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for BALLANTYNE MEDICAL ASSOCIATES PLLC

NPI Number 1114290632
Legal business name
LBN
BALLANTYNE MEDICAL ASSOCIATES PLLC
Authorized official CARLOS JORGE - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 02/14/2012
Last updated 02/14/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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