| Doctor Name: | MR. PAUL E BALLINGER |
| NPI Number: | 1881677847 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 001418 |
| Business Practice Address: | 101 Kington Lane Chickamauga, GA - 30707 |
| Business Phone Number: | 7063759400 |
| Business Fax Number: | 4234954934 |
| Mailing Address: | 101 Kington Lane, CHICKAMAUGA |
| State: | GA |
| Postal Code: | 30707 |
| Phone Number: | 7063759400 |
| Fax Number: | 4234954934 |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |