Individual
CARL ANDREW BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2635 JOHNSON BOTTOM RD, DETROIT, AL 35552-2731
(205) 495-0545
Mailing address
2635 JOHNSON BOTTOM RD, DETROIT, AL 35552-2731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904235
MS
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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