Individual
SHANNON BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 TREVETT CIR, WINTERVILLE, NC 28590-9778
(919) 809-0442
Mailing address
4800 TREVETT CIR, WINTERVILLE, NC 28590-9778
(919) 809-0442
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NC
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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