Individual
DR. TRACEI DENISE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6428 W WILKINSON BLVD, SUITE 241, BELMONT, NC 28012-2858
(313) 303-7493
Mailing address
6428 W WILKINSON BLVD, SUITE 241, BELMONT, NC 28012-2858
(313) 303-7493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301078262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916671
—
NC
Enumeration date
01/10/2007
Last updated
10/04/2012
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