Individual
PATRICK ANDREW BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7736 AIRWAYS BLVD., SOUTHAVEN, MS 38671-5306
(662) 772-5222
(662) 772-5957
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02229397
—
MS
Enumeration date
11/03/2006
Last updated
10/20/2016
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