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Individual

JAMES E BALLOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
JACKSON RIVER INTERNIST, 1 ARH LANE, STE 300, LOW MOOR, VA 24457
(540) 862-7210
(540) 862-5727
Mailing address
PO BOX 457, 5 E ALVON ROAD, SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5051

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101036475
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006099319
VA
Enumeration date
06/10/2005
Last updated
10/15/2011
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