Organization
BATESVILLE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A. BALL M.D. (SENIOR PARTNER)
(662) 563-7681
Entity
Organization
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-7681
(662) 563-8911
Mailing address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-7681
(662) 563-8911
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010942
—
MS
01
—
C00362
MEDICARE
MS
Enumeration date
11/27/2007
Last updated
11/27/2007
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