Individual
VICKI L. BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
32 MAIN ST, ALEX CITY, AL 35010-1904
(256) 409-2322
(256) 409-2321
Mailing address
832 TANKERSLEY RD, KELLYTON, AL 35089-4314
(256) 409-2201
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
157927
AL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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