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Organization

BALL DERMPATH, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL BALL M.D. (OWNER/DERMATOPATHOLOGIST)
(336) 609-6240
Entity
Organization

Contact information

Practice address
2006 NEW GARDEN RD, SUITE 106, GREENSBORO, NC 27410-2566
(336) 609-6240
Mailing address
2006 NEW GARDEN RD, SUITE 106, GREENSBORO, NC 27410-2566
(336) 609-6240

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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