Individual
DR. DIANE NICOLE BALLERINO-REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL CAMPUS DR, SUITE 205, SUPPLY, NC 28462-4096
(910) 755-5260
(910) 755-5263
Mailing address
PO BOX 679, SUPPLY, NC 28462-0679
(910) 755-5260
(910) 755-5263
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
033929
CT
207V00000X
Obstetrics & Gynecology Physician
11076R
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
9501169
NC
207V00000X
Obstetrics & Gynecology Physician
ME00664057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12826
BCBS NC
NC
05
—
8912826
—
NC
01
—
N01169
SC MCD PROVIDER ID#
SC
Enumeration date
08/24/2006
Last updated
07/09/2007
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