Balfour, Ian C

Balfour, Ian C is an individual health care provider with primary practice located at 738 Old Norcross Rd , Lawrenceville GA 30046-4462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Balfour, Ian C can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
738 Old Norcross Rd Lawrenceville GA 30046-4462
Phone: (404) 256-2593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R4D25 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X R4D25 Missouri

Profile Details

NPI number 1649375874
LBN Legal business name Balfour, Ian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649375874 NPPES
Missouri MEDICAID 201961901
Missouri MEDICAID 700216987A

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