Individual
CHARLES JOSEPH BALLAY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE 707N, MARRERO, LA 70072-3148
(504) 934-8550
(504) 934-8549
Mailing address
1111 MEDICAL CENTER BLVD, SUITE 707 N, MARRERO, LA 70072-3148
(504) 934-8550
(504) 934-8549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A94147
CA
207Y00000X
Otolaryngology Physician
Primary
205801
LA
207Y00000X
Otolaryngology Physician
M6514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351753
—
LA
Enumeration date
10/05/2006
Last updated
10/24/2022
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