Individual
RUSSELL A. BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 NEW GARDEN RD, SUITE 106, GREENSBORO, NC 27410-2566
(336) 609-6240
(336) 609-6238
Mailing address
2006 NEW GARDEN RD, SUITE 106, GREENSBORO, NC 27410-2566
(336) 609-6240
(336) 609-6238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9901503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220029646
RAILROAD MEDICARE
NC
Enumeration date
09/13/2005
Last updated
04/23/2014
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