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Individual

CARRIE LAXTON BALLENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2094 WOODRUFF ROAD, GREENVILLE, SC 29607
(864) 676-9729
(864) 676-9432
Mailing address
2094 WOODRUFF ROAD, GREENVILLE, SC 29607
(864) 676-9729
(864) 676-9432

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23317
SC

Other

Enumeration date
10/14/2019
Last updated
11/19/2019
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