Individual
ELIZABETH ANN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
(843) 573-2393
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
(843) 573-2393
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4401
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4401
—
SC
Enumeration date
06/14/2006
Last updated
03/01/2017
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