NPI 1164936878

Charles Ellis Balentine

Practitioner Laboratory Management Specialist/Technologist Nashville, TN

Practice location

Address: 315 Deaderick St STE 1550, Nashville, TN 37238-3003
Phone: (615) 521-4380
Fax: (615) 521-4380
Mailing address: 100 Higginson Pl N, Gallatin, TN 37066-6086

Registered specialties

Laboratory Management Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QL0900X Licence 44D2125377 (TN)

Other Specialist/Technologist, Pathology providers in Tennessee →

Registry record

NPI: 1164936878
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2017
Record last updated: 17 Nov 2017

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.