Individual
DANIELLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 436-1148
Mailing address
566 RUIN CREEK RD, HENDERSON, NC 27536-5932
(252) 436-1148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-01342
NC
390200000X
Student in an Organized Health Care Education/Training Program
63989
NY
Other
Enumeration date
03/21/2018
Last updated
09/18/2021
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