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Individual

CHUCK L BALL

Active
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Individual

CHUCK L BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250915
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1821253535
VA
01
VAD000
FEDERAL UPIN
TN
01
VV4469
MEDICARE
VA
Enumeration date
07/22/2008
Last updated
08/03/2026
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