Ballard, Iii, David C

Ballard, Iii, David C is an individual health care provider with primary practice located at 711 Canton Rd Ne Suite 300, Marietta GA 30060-8948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ballard, Iii, David C can be contacted via phone (770) 429-0031.

Contact Information

Primary practice address
711 Canton Rd Ne Suite 300 Marietta GA 30060-8948
Phone: (770) 429-0031
Fax: (678) 819-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 022509 Georgia

Profile Details

NPI number 1245215953
LBN Legal business name Ballard, Iii, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245215953 NPPES
Georgia MEDICAID 000225178G

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