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Individual
EVAN A BALLARD
Active
Individual
EVAN A BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12850
BCBSNC
NC
01
—
2484
PARTNERS
NC
01
—
38573
MEDCOST
NC
01
—
4254752
AETNA
NC
05
—
8912850
—
NC
Enumeration date
08/21/2006
Last updated
07/08/2007
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