Provider Demographics
NPI:1881677847
Name:BALLINGER, PAUL E (PA)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:BALLINGER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:7305 JARNIGAN ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4874
Mailing Address - Country:US
Mailing Address - Phone:423-495-4345
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:101 KINGTON LANE
Practice Address - Street 2:
Practice Address - City:CHICKAMAUGA
Practice Address - State:GA
Practice Address - Zip Code:30707
Practice Address - Country:US
Practice Address - Phone:706-375-9400
Practice Address - Fax:706-375-9491
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2018-02-15
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Provider Licenses
StateLicense IDTaxonomies
GA001418363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical