Organization
CAROLINA FAMILY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN JAMES BALLEW DO (OWNER)
(910) 276-1150
Entity
Organization
Contact information
Practice address
1707 BERWICK DR STE B, LAURINBURG, NC 28352-5543
(910) 276-1150
Mailing address
1048 TERRACE DR, MARION, VA 24354-4138
(276) 783-1827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016-02469
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
08/11/2017
Last updated
06/11/2020
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