Individual
MARIJEAN DALE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
289 SUMMERTIME PKWY, DEATSVILLE, AL 36022-5371
(205) 601-5160
(205) 378-1920
Mailing address
289 SUMMERTIME PKWY, DEATSVILLE, AL 36022-5371
(205) 601-5160
(205) 378-1920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
610
AL
Other
Enumeration date
06/17/2006
Last updated
08/15/2014
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