Individual
MR. JOHN RICH BALENTINE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 BURNETTS WAY STE 100, SUFFOLK, VA 23434-8168
(757) 547-5145
(757) 539-7488
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3843
(757) 547-5145
(757) 312-0216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2006
Last updated
02/04/2021
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