Individual
SALLY S. BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885
Mailing address
8001 YOUREE DR, SUITE 400, SHREVEPORT, LA 71115-2302
(318) 212-3456
(318) 212-3885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022535
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699764
—
LA
Enumeration date
01/11/2006
Last updated
06/17/2021
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