Individual
DONNA W BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 460-5333
Mailing address
PO BOX 2847, DEPT 1060, MOBILE, AL 36652-2847
(562) 809-3530
(562) 924-5860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51084059
BLUE CROSS
AL
Enumeration date
09/14/2006
Last updated
10/04/2010
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