Individual
DR. JAMES KEITH BALLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
706 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2640
(601) 823-3200
Mailing address
706 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2640
(601) 823-3200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4005-18
MS
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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