Organization · Type 2 NPI

Ballentine Pediatrics, LLC

Pediatric Adolescent Medicine Physician · Irmo, SC

NPI number 1629234141 Active

Practice location

11134 Broad River Rd, Suite D
Irmo, SC 29063-9668

Fax (803) 227-2759

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X19500 (SC)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

4 other providers at this address

About NPI 1629234141

Ballentine Pediatrics, LLC's National Provider Identifier is 1629234141, issued on Aug 4, 2008. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Irmo, SC. The record was last updated on Aug 4, 2008.