Individual
ANISSA R BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 MCFARLAND BLVD, STE 10, NORTHPORT, AL 35476-3198
(205) 339-8300
(205) 339-8313
Mailing address
PO BOX 1364, NORTHPORT, AL 35476-6364
(205) 339-8300
(205) 339-8313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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