Individual
MR. PAUL DEAN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2043
(828) 298-7911
Mailing address
20 MORNING GLORY LN, WEAVERVILLE, NC 28787-9015
(828) 645-3288
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
101100
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101100
PA
NC
Enumeration date
05/27/2006
Last updated
07/10/2007
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