Individual
SETH BENJAMIN BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 S JACKSON ST RM C1H17, LOUISVILLE, KY 40202-1675
(256) 612-8636
Mailing address
3606 FLINT POINTE CIR SW, HARTSELLE, AL 35640-6006
(256) 612-8636
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/28/2024
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