Individual
JUSTINE LYNN BALASUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5021
(336) 716-9252
(336) 716-0030
Mailing address
MEDICAL CENTER BVLD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15522
NC
363A00000X
Physician Assistant
025636
NY
Other
Enumeration date
03/30/2020
Last updated
07/29/2025
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