MICHAEL J. BALLARD

CLOVER, SC
NPI1093937401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  181)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- MICHAEL J. BALLARD MS ATC, PES
1625 HIGHWAY 55 E
CLOVER, SC 29710-8551
Phone number: 803-222-4591
Mailing Address
-- MICHAEL J. BALLARD MS ATC, PES
1405 WHIRLAWAY CT
YORK, SC 29745-6700
Phone number: 803-684-7850
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