Individual
REBECCA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19407
SC
363LF0000X
Family Nurse Practitioner
Primary
19407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3231
—
SC
Enumeration date
04/27/2015
Last updated
12/29/2021
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