Individual
EVAN A BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642-9418
(336) 835-6300
(336) 835-4761
Mailing address
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642-9418
(336) 835-6300
(336) 835-4761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12850
BCBSNC
NC
01
—
2484
PARTNERS
NC
01
—
38573
MEDCOST
NC
01
—
4254752
AETNA
NC
05
—
8912850
—
NC
Enumeration date
08/21/2006
Last updated
07/08/2007
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