MR. Laurence Havens Ballou JR., MD

NPI #1962487306 in Georgetown, South Carolina

Provider Information

NPI Number
1962487306
Entity Type
Individual
Name
MR. Laurence Havens Ballou JR., MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Gastroenterology
Credential
MD
Enumeration Date
Dec 8, 2005
Last Updated
Jan 15, 2014

Practice Location

Address
1011 N FRASER ST
ZIP Code
29440-2848
Phone
(843) 527-3428

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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