Provider Demographics
NPI:1881664878
Name:BALLINGER, WILLIAM H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:BALLINGER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4266
Mailing Address - Country:US
Mailing Address - Phone:864-271-3354
Mailing Address - Fax:864-250-6443
Practice Address - Street 1:601 HALTON RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3403
Practice Address - Country:US
Practice Address - Phone:864-458-7956
Practice Address - Fax:864-458-8390
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2007-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC13871207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1572970003OtherCIGNA PROVIDER NUMBER
SC4327189OtherAETNA PROVIDER NUMBER
SCTL3234Medicaid
SCD99935Medicare UPIN