Individual
DR. ERIC L BALFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2969 CURRAN DR N, JACKSON, MS 39216-4121
(601) 200-3070
(601) 200-3172
Mailing address
PO BOX 4997, JACKSON, MS 39296-4997
(601) 362-0600
(601) 362-1186
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18896
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000671542
—
MS
05
—
00671542
—
MS
01
—
1861442436
NPI
MS
05
—
207209909
—
MO
05
—
3329068
—
TN
01
—
4108904
TN BCBS
TN
01
—
83369
AR BCBS
AR
Enumeration date
05/12/2006
Last updated
02/13/2023
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