Individual
CYNTHIA ANN BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
514 N BRIGHTLEAF BLVD STE 1200, SMITHFIELD, NC 27577-4486
(919) 209-3555
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101 230080
VA
2085R0001X
Radiation Oncology Physician
051907
GA
2085R0001X
Radiation Oncology Physician
Primary
96-01555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12773
BCBS
NC
05
—
1811095771
—
NC
01
—
205504
MEDCOST
NC
01
—
7331362
AETNA
NC
01
—
8373963
CIGNA
NC
05
—
8912773
—
NC
01
—
P00612671
RAILROAD MEDICARE
NC
01
—
P01619309
RR MEDICARE
NC
Enumeration date
09/21/2006
Last updated
03/23/2020
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