Individual
DR. STEPHEN JOSEPH BALEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 876-1344
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL32755
SC
208000000X
Pediatrics Physician
LL32755
SC
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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