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Individual

JAY PATRICK BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-7070
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
5010891
NC
363L00000X
Nurse Practitioner
Primary
5010891
NC

Other

Enumeration date
08/27/2018
Last updated
07/15/2024
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