Individual
CHARLES A BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
854 W JAMES CAMPBELL BLVD, SUITE 403, COLUMBIA, TN 38401-4659
(931) 380-0075
(931) 388-7502
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 388-7502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3172059
—
TN
05
—
3710089
—
TN
01
—
4119142
BCBST
TN
01
—
4131683
BCBST
TN
Enumeration date
07/25/2006
Last updated
03/08/2016
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