Dr NINO BALANCHIVADZE is a female medical professional, specializing in Internal Medicine. She graduated in 2010.
SOUTHEASTERN HOSPITALIST SERVICES, PC
809 82ND PKWY
MYRTLE BEACH
SC
295724607
Tel: 8436921000
| Npi | 1215225552 |
| Pac Id | 6204051055 |
| Professional Enrollment Id | I20140710001894 |
| Last Name | BALANCHIVADZE |
| First Name | NINO |
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| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | SOUTHEASTERN HOSPITALIST SERVICES, PC |
| Group Practice Pac Id | 3476855420 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 809 82ND PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 295724607 |
| Phone Number | 8436921000 |
| Hospital Affiliation Ccn 1 | 420085 |
| Hospital Affiliation Lbn 1 | GRAND STRAND REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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