Organization
JONESVILLE FAMILY MEDICAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN A BALLARD M.D. (OFFICER)
(336) 835-6300
Entity
Organization
Contact information
Practice address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642-9418
(336) 835-6300
(336) 835-4761
Mailing address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642-9418
(336) 835-6300
(336) 835-4761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40345
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178A
BCBSNC
NC
01
—
01916
BCBSNC
NC
05
—
890178A
—
NC
05
—
8901916
—
NC
Enumeration date
08/21/2006
Last updated
12/11/2007
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