Individual
NATHAN A BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1716 ELLIS ST, BRUNSWICK, GA 31520-6417
(912) 262-3236
(912) 262-0813
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 262-2347
(912) 262-3036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN176462
GA
363LF0000X
Family Nurse Practitioner
2011008422
GA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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