Organization
MICHAEL A. BALLARD, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY BALLARD MD (OWNER)
(225) 294-7872
Entity
Organization
Contact information
Practice address
13135 E ADAMS RD, HAMMOND, LA 70403-2123
(225) 294-7872
(225) 294-7872
Mailing address
PO BOX 727, PONCHATOULA, LA 70454-0727
(225) 294-7872
(225) 294-7872
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD.09071R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929247
—
LA
Enumeration date
03/07/2007
Last updated
08/22/2020
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