Organization
CAROLYN O. BALLANTINE, MD. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN OATES BALLANTINE MD (SOLE MEMBER/ORGANIZER)
(919) 593-5548
Entity
Organization
Contact information
Practice address
1709 LEGION RD, SUITE 224, CHAPEL HILL, NC 27517-2375
(919) 593-5548
(919) 929-8900
Mailing address
1709 LEGION RD, SUITE 224, CHAPEL HILL, NC 27517-2375
(919) 593-5548
(919) 929-8900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200201134
NC
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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