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1932300761
THOMAS KELLY BALLARD
JACKSON, TN
NPI
1932300761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN md016530)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Dr. THOMAS KELLY BALLARD MD
418 E BALTIMORE ST
JACKSON, TN 38301-6307
Phone number: 731-422-3416
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Mailing Address
Dr. THOMAS KELLY BALLARD MD
15 WINDWOOD DR
JACKSON, TN 38305-8835
Phone number: 731-422-3416
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