Individual
LINDA ANN BALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
222 E MEDICAL LANE SUITE 300, WEST COLUMBIA, SC 29169
(803) 936-8100
(803) 936-8130
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2395
SC
367A00000X
Advanced Practice Midwife
F001262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0111
—
SC
Enumeration date
05/31/2007
Last updated
05/02/2022
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