Individual
DR. WILLIAM A BALLANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2515 BOWMAN GRAY DR, GREENVILLE, NC 27834-7215
(252) 561-7992
(252) 561-7993
Mailing address
2515 BOWMAN GRAY DR, GREENVILLE, NC 27834-7215
(252) 561-7992
(252) 561-7993
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
31960
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-55226
UNITED HEALTHCARE
NC
01
—
1117U
BCBS
NC
01
—
220025283
RR MEDICARE
NC
01
—
78865
MEDCOST
NC
05
—
8912846
—
NC
Enumeration date
06/30/2005
Last updated
05/12/2010
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