Individual provider · NPI-1

Stephen Daniel Ballis, MD

Pediatrics · Charleston, SC

NPI number1841781952
StatusActive
Last updated in NPPESOct 24, 2025

Details

NPI
1841781952
Entity type
Individual (NPI-1)
Name
Stephen Daniel Ballis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2018
Certification date
Oct 24, 2025
Last updated
Oct 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics52438SCYes
208M00000X Hospitalist52438SC

Practice location

169 Ashley Avenue
Room 202 Main Hospital, Msc333
Charleston, SC 29425

Phone 843-792-8972

Mailing address

Po Box 751461
Charlotte, NC 28275-1461

Phone 843-792-6200

Other practice locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Phone 843-402-1634 · Fax 843-724-1308

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