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Individual

DR. JEANNE FIELDS BALLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13853
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13853
MEDICAL LICENSE
TN
01
6028180
BCBS TN
TN
05
Q010374
TN
Enumeration date
01/17/2006
Last updated
03/07/2023
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