Dwight Davis Ballard in Eastover - Clinical
Dwight Davis Ballard - NPI 1992968630
Dwight Davis Ballard is a Clinical in Eastover, South Carolina. Dwight Davis Ballard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dwight Davis Ballard is 1992968630. The last update date is 2008-07-02.
Dwight Davis Ballard's current location address is 1357 Goffman Road, Eastover, South Carolina. You can contact this provider via phone number 8037821421. The mailing address for Dwight Davis Ballard is 1357 Goffman Road, Eastover, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Davis Ballard |
|---|---|
| Address | 1357 Goffman Road, Eastover, South Carolina |
| Phone Number | 8037821421 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1992968630 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 1357 Goffman Road |
|---|---|
| City | Eastover |
| State | South Carolina (SC) |
| Post Code | 290448728 |
| Phone Number | 8037821421 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8585 |
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What is the unique identification code assigned to Dwight Davis Ballard by the Centers for Medicare & Medicaid Services?
The Dwight Davis Ballard has been issued the NPI (National Provider Identifier) 1992968630. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dwight Davis Ballard's facilities are geographically located?
The facilities of Dwight Davis Ballard are physically situated at the following location: 1357 Goffman Road, Eastover, SC, 290448728.
What is Dwight Davis Ballard's area of expertise and its corresponding taxonomy classification?
The Dwight Davis Ballard's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Dwight Davis Ballard receive its 1992968630 assignment?
The Dwight Davis Ballard was assigned its 1992968630 on 2008-07-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Dwight Davis Ballard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dwight Davis Ballard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-02.