GARY H BALLARD

EAST RIDGE, TN
NPI1720022395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  RN0000063398)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
-- GARY H BALLARD NP
403 MCBRIEN RD
EAST RIDGE, TN 37412-3223
Phone number: 423-894-3589
Mailing Address
-- GARY H BALLARD NP
992 CLIFT CAVE RD
SODDY DAISY, TN 37379-5700
Phone number: 423-332-9218
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