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Individual

ERIKA BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 WENTWORTH CIR, VILLA RICA, GA 30180-7229
(267) 666-4753
Mailing address
220 WENTWORTH CIR, VILLA RICA, GA 30180-7229

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN25167
GA

Other

Enumeration date
01/15/2022
Last updated
01/15/2022
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