Gary H Ballard in East Ridge - Family

Gary H Ballard - NPI 1720022395

Gary H Ballard is a Family in East Ridge, Tennessee. Gary H Ballard practices all healthcare services and medical treatments related to Family. The NPI Number for Gary H Ballard is 1720022395. The last update date is 2007-07-08.

Gary H Ballard's current location address is 403 Mcbrien Rd, East Ridge, Tennessee. You can contact this provider via phone number 4238943589 and fax number 4238923378. The mailing address for Gary H Ballard is 403 Mcbrien Rd, East Ridge, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary H Ballard
Address 403 Mcbrien Rd, East Ridge, Tennessee
Phone Number 4238943589
Fax Number 4238923378
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1720022395
Provider Enumeration Date 2006-06-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 403 Mcbrien Rd
City East Ridge
State Tennessee (TN)
Post Code 374123223
Phone Number 4238943589
Fax Number 4238923378

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN0000063398
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Gary H Ballard

What is the unique 10-digit identification code issued to Gary H Ballard by the Centers for Medicare & Medicaid Services?

The Gary H Ballard has been assigned the NPI (National Provider Identifier) 1720022395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Gary H Ballard located?

The Gary H Ballard is located at 403 Mcbrien Rd, East Ridge, TN 374123223.

What is Gary H Ballard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gary H Ballard is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

On what date was the 1720022395 assigned to Gary H Ballard?

The Gary H Ballard was issued its 1720022395 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gary H Ballard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gary H Ballard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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