Individual
BRUCE DEVON BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 WINGO WAY, SUITE 102, MT PLEASANT, SC 29464-3235
(843) 881-2030
(843) 881-6249
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
11111
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111113
—
SC
Enumeration date
08/12/2005
Last updated
10/19/2023
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