Individual
MR. WALTER DANIEL BALLARD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
24 PARKWAY COMMONS WAY, GREER, SC 29650-5213
(864) 848-3300
(864) 848-2100
Mailing address
24 PARKWAY COMMONS WAY, GREER, SC 29650-5213
(864) 848-3300
(864) 848-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702097
—
NC
05
—
DE1002
—
SC
Enumeration date
05/13/2006
Last updated
11/16/2007
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