MICHAEL F BALLARD

MILLINGTON, TN
NPI1356311518
Other NameMICHAEL F BALLARD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
-- MICHAEL F BALLARD IDC
5722 INTEGRITY DR BLDG S771
MILLINGTON, TN 38054-5028
Phone number: 901-874-6100
Mailing Address
-- MICHAEL F BALLARD IDC
7698 KIOWA ST
MILLINGTON, TN 38053-3248
Phone number: 901-872-7848