Individual
MARGUERITE C BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR RM 4601, MORGANTOWN, WV 26506-1200
(304) 598-0430
(304) 598-4711
Mailing address
2117 S HAMILTON DR, COVINGTON, VA 24426-2433
(540) 270-4901
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WV
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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