Individual
ELIZABETH GRACE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
150 IVEY LN, PINEHURST, NC 28374-9817
(910) 215-5210
Mailing address
150 IVEY LN, PINEHURST, NC 28374-9817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-04851
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
08/16/2022
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