Individual
KRISTI THERESA BALAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6324 FAIRVIEW RD STE 430, CHARLOTTE, NC 28210-3372
(704) 316-3148
(704) 316-3149
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
238018
NC
Other
Enumeration date
03/21/2018
Last updated
08/03/2023
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