Individual
MICHAEL J. BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC, PES
Contact information
Practice address
1625 HIGHWAY 55 E, CLOVER, SC 29710-8551
(803) 222-4591
Mailing address
1405 WHIRLAWAY CT, YORK, SC 29745-6700
(803) 684-7850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
181
SC
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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