Individual
DR. CHRISTOPHER BUCKINGHAM BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27974
SC
208000000X
Pediatrics Physician
27974
SC
208M00000X
Hospitalist Physician
Primary
27974
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279745
—
SC
Enumeration date
03/05/2007
Last updated
08/05/2025
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