Individual
DR. THOMAS KELLY BALLARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 E BALTIMORE ST, JACKSON, TN 38301-6307
(731) 422-3416
(731) 424-6120
Mailing address
15 WINDWOOD DR, JACKSON, TN 38305-8835
(731) 422-3416
(731) 424-6120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD016530
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017841
—
TN
Enumeration date
05/30/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us