Individual
DR. JULIA B BALLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203-6878
(803) 434-7950
(803) 434-8606
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 434-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153345
—
SC
01
—
F586592389
MEDICARE PTAN
SC
Enumeration date
06/25/2006
Last updated
04/04/2018
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