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Individual

SAMUEL S BALLEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2000 E GREENVILLE ST, SUITE 3700, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Mailing address
700 2ND ST NE, WASHINGTON, DC 20002-8100
(202) 853-0091

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1593
SC

Other

Enumeration date
06/19/2012
Last updated
02/04/2022
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