Ballentine Pediatrics, Llc

LBN: Ballentine Pediatrics, Llc
Ballentine Pediatrics, Llc is an health care organization with primary practice located at 11134 Broad River Rd Suite D, Irmo SC 29063-9668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Ballentine Pediatrics, Llc can be contacted via phone (803) 732-0920, or through Geurkink, Deanne Nicola via phone (803) 732-0920.

Contact Information

Primary practice address
11134 Broad River Rd Suite D Irmo SC 29063-9668
Phone: (803) 732-0920
Fax: (803) 227-2759
Website:
Map and Directions
Authorized official contact:
Name: Geurkink, Deanne Nicola Doctor of Medicine (MD)
Phone: (803) 732-0920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 19500 South Carolina

Profile Details

NPI number 1629234141
LBN Legal business name Ballentine Pediatrics, Llc
DBA Doing business as
Authorized official Geurkink, Deanne Nicola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2008
Last updated Aug 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629234141 NPPES
South Carolina MEDICAID 195005

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