Individual
DR. WILLIAM TIMOTHY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2059
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027703
TN
207X00000X
Orthopaedic Surgery Physician
Primary
MD27703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3036168
BC/BS
TN
05
—
3800986
—
TN
Enumeration date
06/23/2005
Last updated
09/04/2012
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