Ballard, Randall

Ballard, Randall is an individual health care provider with primary practice located at 935 Marietta St Nw 29, Atlanta GA 30318-0527. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Ballard, Randall can be contacted via phone (678) 663-8714.

Contact Information

Primary practice address
935 Marietta St Nw 29 Atlanta GA 30318-0527
Phone: (678) 663-8714
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1356880025
LBN Legal business name Ballard, Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2017
Last updated Feb 14th, 2017 - about 8 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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