# CAROLINA FAMILY CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780109603
- **Authorized official:** DR. ALLEN JAMES BALLEW DO (OWNER)
- **Authorized official phone:** (910) 276-1150

## Contact information

- **Practice address:** 1707 BERWICK DR STE B, LAURINBURG, NC 28352-5543
- **Practice address phone:** (910) 276-1150
- **Mailing address:** 1048 TERRACE DR, MARION, VA 24354-4138
- **Mailing address phone:** (276) 783-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2017
- **Last updated:** 06/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2016-02469 | NORTH CAROLINA MEDICAL BOARD | NC |