Provider Demographics
NPI:1083999619
Name:HEALTH BALANCE PC
Entity Type:Organization
Organization Name:HEALTH BALANCE PC
Other - Org Name:EQUILIFE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:NETTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-299-9300
Mailing Address - Street 1:420 THE PKWY
Mailing Address - Street 2:UNIT N
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5204
Mailing Address - Country:US
Mailing Address - Phone:888-299-9300
Mailing Address - Fax:864-208-0126
Practice Address - Street 1:420 THE PKWY
Practice Address - Street 2:UNIT N
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5204
Practice Address - Country:US
Practice Address - Phone:888-299-9300
Practice Address - Fax:864-208-0126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty