Organization
BALLARD CHIROPRACTIC & ASSOCIATES LLC
Active
Other names
Ballard Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRANDON BALLARD DC (OWNER)
(770) 277-1650
Entity
Organization
Contact information
Practice address
1715 BUFORD DR, LAWRENCEVILLE, GA 30043-3213
(770) 277-1650
Mailing address
1715 BUFORD DR, LAWRENCEVILLE, GA 30043-3213
(770) 277-1650
(770) 277-0451
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659727055
INDIVIDUAL NPI
GA
Enumeration date
08/20/2019
Last updated
08/20/2019
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