Individual
DR. RICHARD DANE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
499 GLOSTER CREEK VLG STE A2, TUPELO, MS 38801
(662) 620-6800
(662) 620-6950
Mailing address
499 GLOSTER CREEK VLG STE A2, TUPELO, MS 38801-4749
(662) 620-6800
(662) 620-6950
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
22430
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05300066
—
MS
01
—
T-2401
TEMPORARY MS MEDICAL LICENSE
MS
Enumeration date
07/01/2011
Last updated
09/18/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us