NPI 1164052726

Ballantyne Emergency Physicians PLLC

Organisation Emergency Medicine Physician Charlotte, NC

Practice location

Address: 11516 Providence Rd, Charlotte, NC 28277-2691
Phone: (704) 667-0370
Mailing address: 5665 New Northside Dr STE 320, Atlanta, GA 30328-5834

Authorised official

Name: Kim H Larsen
Title: Director of Credentialing
Phone: (770) 874-5400

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in North Carolina →

Registry record

NPI: 1164052726
Entity type: Organization
NPI issued: 23 Jan 2020
Record last updated: 17 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.