Individual
HEATHER MICHELLE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2040
(540) 265-1607
(540) 366-7353
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002885
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063661049
—
VA
Enumeration date
09/15/2008
Last updated
01/27/2022
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