Ballentine Pediatrics, LLC
NPI #1629234141 in Irmo, South Carolina
Provider Information
- NPI Number
- 1629234141
- Entity Type
- Organization
- Organization Name
- Ballentine Pediatrics, LLC
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Aug 4, 2008
- Last Updated
- Aug 4, 2008
Practice Location
- Address
- 11134 BROAD RIVER RD
- Address 2
- SUITE D
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-9668
- Phone
- (803) 732-0920
Authorized Official
- Name
- DR. DEANNE NICOLA GEURKINK, MD
- Title
- OWNER/PROVIDER
- Phone
- (803) 732-0920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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