Individual
DR. DOROTHY M BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Mailing address
171 KEMPSVILLE RD, BUILDING B, NORFOLK, VA 23502-4700
(757) 668-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101238062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010170052
VA PREMIER
—
05
—
010170052
—
VA
01
—
180151
ANTHEM
—
01
—
2133678
MDIPA/MAMSI
—
01
—
541778786001
TRICARE
—
05
—
5900918
—
NC
01
—
95761
OPTIMA
—
Enumeration date
06/14/2006
Last updated
05/24/2023
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