Individual
DR. W MARK BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2939 S MAIN ST, MOULTRIE, GA 31768-6903
(229) 985-5000
(229) 985-1107
Mailing address
PO BOX 2215, 2939 SOUTH MAIN ST, MOULTRIE, GA 31776-2215
(229) 985-5000
(229) 985-1107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1580
GA
Other
Enumeration date
09/17/2006
Last updated
09/21/2010
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