Individual
BRET BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
906 HIGHWAY 278 E, AMORY, MS 38821-5511
(662) 256-5612
(662) 256-5264
Mailing address
906 HIGHWAY 278 E, AMORY, MS 38821-5511
(662) 256-5612
(662) 256-5264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R815978
MS
Other
Enumeration date
07/21/2006
Last updated
05/17/2019
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