Individual
JENNIFER BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 FIRST VILLAGE DR, PINEHURST, NC 28374-9495
(910) 295-6831
Mailing address
395 W 12TH AVE, ROOM 680, COLUMBUS, OH 43210-1267
(614) 293-8000
(614) 293-4063
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2022-00606
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
08/23/2022
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