OrganizationActive
Ballentine Pediatrics, LLC
NPI 1629234141 · Pediatric Adolescent Medicine Physician · Irmo, SC
Provider details
- NPI number
- 1629234141
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deanne Geurkink, Owner/Provider(803) 732-0920
- License
- 19500 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11134 Broad River Rd
Suite D
Irmo, SC 29063-9668
Phone: (803) 732-0920
Fax: (803) 227-2759
Approximate (ZIP-level) locationGet directions
Mailing address
11134 Broad River Rd
Irmo, SC 29063-9668
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2008-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.