Individual
DEBRA LYNN BALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1268 NEXTON PKWY STE 104, SUMMERVILLE, SC 29486-2167
(843) 212-8080
(843) 402-2681
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26949
SC
Other
Enumeration date
02/21/2023
Last updated
02/10/2026
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