Individual
MRS. STEPHANIE LAUREN BALKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE STE 301, RALEIGH, NC 27610-1247
(919) 350-7035
Mailing address
3024 NEW BERN AVE STE 301, RALEIGH, NC 27610-1247
(919) 350-7035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0010-10347
NC
208M00000X
Hospitalist Physician
Primary
0010-10347
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/05/2020
Last updated
08/21/2020
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