Individual
C L BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 ATRIUM WAY, SUITE 232, COLUMBIA, SC 29223-6383
(803) 788-8484
(803) 788-8499
Mailing address
115 ATRIUM WAY, SUITE 232, COLUMBIA, SC 29223-6383
(803) 788-8484
(803) 788-8499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1888
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1817
—
SC
Enumeration date
10/05/2006
Last updated
01/08/2008
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