Individual
CAROLE BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE STREET, CHARLOTTESVILLE, VA 22908-0001
(434) 982-4456
(434) 924-2359
Mailing address
1215 LEE STREET, CHARLOTTESVILLE, VA 22908-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0001122698
VA
Other
Enumeration date
04/04/2007
Last updated
07/13/2007
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