Individual
CASEY BALAMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
251 EASTWAY DR, CHARLOTTE, NC 28213-7103
(704) 446-9991
Mailing address
13001 E 17TH PL RM E7019, AURORA, CO 80045-2570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13405
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/17/2022
Last updated
05/14/2024
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