OrganizationActive
Ballantyne Medical Associates PLLC
NPI 1114290632 · Non-Pharmacy Dispensing Site · Charlotte, NC
Provider details
- NPI number
- 1114290632
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Ballantyne Medical Associates PLLC
- Organization subpart
- Yes
- Authorized official
- Carlos Jorge, Owner(704) 540-1640
Specialties & taxonomies
Suppliers
Practice location
12311 Copper Way
Suite 100
Charlotte, NC 28277-3642
Phone: (704) 540-1640
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2012-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.