Individual
CHARLES CHRISTOPHER BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA4382
Contact information
Practice address
702 HIGHWAY 82 W STE B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Mailing address
702 HIGHWAY 82 W STE B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4382
MS
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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