NPI | 1407121635 |
---|---|
Doing Business As | BALLARD FAMILY MEDICAL |
Entity Type | Organization |
Authorized Contact | BRANDY DENISE BALLARD Provider 931-392-4749 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN08389) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2023-03-30 |