Jeffrey Tim Ballast in Charlotte - Physician Assistant
Jeffrey Tim Ballast - NPI 1063535300
Jeffrey Tim Ballast is a Physician Assistant in Charlotte, North Carolina. Jeffrey Tim Ballast practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Tim Ballast is 1063535300. The last update date is 2023-05-10.
Jeffrey Tim Ballast's current location address is 1237 Harding Pl, Charlotte, North Carolina. You can contact this provider via phone number 7043730212. The mailing address for Jeffrey Tim Ballast is 1237 Harding Pl, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Tim Ballast |
|---|---|
| Address | 1237 Harding Pl, Charlotte, North Carolina |
| Phone Number | 7043730212 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063535300 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2023-05-10 |
Provider Mailing Address Detail
| Address | 1237 Harding Pl |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 28204 |
| Phone Number | 7043730212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-03547 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Jeffrey Tim Ballast by the Centers for Medicare & Medicaid Services?
The Jeffrey Tim Ballast has been assigned the NPI (National Provider Identifier) 1063535300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jeffrey Tim Ballast located?
The Jeffrey Tim Ballast is located at 1237 Harding Pl, Charlotte, NC 28204.
What is Jeffrey Tim Ballast's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Tim Ballast's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Jeffrey Tim Ballast receive its 1063535300 assignment?
The Jeffrey Tim Ballast was assigned its 1063535300 on 2007-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jeffrey Tim Ballast last refreshed?
The information related to the Jeffrey Tim Ballast, including its address, specialty, and other relevant details, was last updated on 2023-05-10.
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