Provider Demographics
NPI:1497800288
Name:HENRY C. BALLANCE & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HENRY C. BALLANCE & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BALLANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-274-8289
Mailing Address - Street 1:206 FAIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3885
Mailing Address - Country:US
Mailing Address - Phone:478-274-8289
Mailing Address - Fax:
Practice Address - Street 1:206 FAIRFIELD CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3885
Practice Address - Country:US
Practice Address - Phone:478-274-8289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty