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Individual

MR. EDWIN GRANTHAM BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2444 COMMERCE RD, JACKSONVILLE, NC 28546-7560
(910) 989-2800
(910) 346-2393
Mailing address
2444 COMMERCE RD, JACKSONVILLE, NC 28546-7560
(910) 989-2800
(910) 346-2393

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004064
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130P7
BC/BS
NC
05
6002715
NC
Enumeration date
06/09/2006
Last updated
07/08/2007
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