Individual
MAKENZIE WHITE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(828) 817-2420
Mailing address
44 SUMMERSET BAY DR, CROSS HILL, SC 29332-5792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240327
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
29019
SC
Other
Enumeration date
06/13/2022
Last updated
07/15/2024
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