Individual
COLBY BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5000 CENTRE GREEN WAY, CARY, NC 27513-5817
(702) 703-5597
Mailing address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12502
NC
Other
Enumeration date
04/10/2022
Last updated
04/13/2026
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