Individual
RICHARD ALLEN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1147 US-231 STE 9 & 10, TROY, AL 36081
(334) 465-8000
Mailing address
16265 MCKENZIE GRADE, GEORGIANA, AL 36033-5836
(334) 453-1120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1974
AL
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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