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Individual
CHARLOTTE BALLANTINE
Active
Individual
CHARLOTTE BALLANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
207R00000X
Internal Medicine Physician
DO2023-1011
NM
208M00000X
Hospitalist Physician
Primary
DO2023-1011
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/22/2010
Last updated
08/07/2025
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