Organization
PRESBYTERIAN REGIONAL HEALTHCARE CORP
Active
Other names
Ballantyne Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK D EASTERLING (SR. VICE PRESIDENT)
(704) 384-9103
Entity
Organization
Contact information
Practice address
15825 JOHN J DELANEY DR, SUITE 200, CHARLOTTE, NC 28277-3146
(704) 384-1925
(704) 384-1930
Mailing address
1900 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1106
(704) 384-9103
(704) 316-9633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014VG
—
NC
Enumeration date
04/08/2006
Last updated
08/22/2020
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