Individual
FAITH BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED CO
Contact information
Practice address
2704 WOOTEN BLVD SW, WILSON, NC 27893-4428
(252) 291-5858
(252) 291-5542
Mailing address
3224 LAKE WOODARD DR, RALEIGH, NC 27604-3659
(919) 231-6890
(919) 231-3490
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224L00000X
Pedorthist
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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