Individual
DR. LIANNA BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1776 OLD MORGANTON RD, SOUTHERN PINES, NC 28387-5185
(910) 295-3220
Mailing address
45 SAMUEL NICHOLAS DR, CAMERON, NC 28326-7670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2631
NC
Other
Enumeration date
07/25/2017
Last updated
02/10/2023
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