Individual
NICHOLAS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO3302
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
06/27/2022
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