Individual
MICHELE K BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 ARH LANE, STE. 102, LOW MOOR, VA 24457-0007
(540) 862-6710
(540) 862-9167
Mailing address
PO BOX 457, WHITE SULPHUR SPRINGS, WV 24986-0457
(304) 536-5030
(866) 903-6621
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101036698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006099483
—
VA
Enumeration date
06/16/2005
Last updated
02/08/2019
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