Individual
JOHNNY D BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
518 W MAIN ST STE C, SMITHVILLE, TN 37166-1100
(615) 597-4005
(615) 597-6667
Mailing address
518 W MAIN ST STE C, SMITHVILLE, TN 37166-1100
(615) 597-4005
(615) 597-6667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31959
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q076996
—
TN
Enumeration date
08/01/2022
Last updated
10/13/2022
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