Individual
DR. ROBERT CHEATHAM BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 N MAIN ST, COLLIERVILLE, TN 38017-2670
(901) 853-4747
(901) 853-6716
Mailing address
151 N MAIN ST, COLLIERVILLE, TN 38017-2670
(901) 853-4747
(901) 853-6716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007768
TN
Other
Enumeration date
08/12/2005
Last updated
07/09/2007
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