Individual
ANDREW BRODIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
525 VINE ST, WINSTON SALEM, NC 27101-4125
(336) 716-1411
Mailing address
525 VINE ST, WINSTON SALEM, NC 27101-4125
(336) 716-1411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
07/05/2025
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