Individual
JOSEPH BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 250-1260
Mailing address
PO BOX 46872, RALEIGH, NC 27620-6872
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912911
—
NC
Enumeration date
07/11/2005
Last updated
01/31/2014
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