THOMAS BALLARD IV

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1245975226

Practice Address

7601 SOUTHCREST PKWY
Southaven, MS 38671

Phone: (662) 772-4696

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1245975226 is the National Provider Identifier for THOMAS BALLARD IV, a Student in an Organized Health Care Education/Training Program provider located in Southaven, MS. This NPI was enumerated on May 3, 2022.
THOMAS BALLARD IV practices at 7601 SOUTHCREST PKWY, Southaven, MS 38671.

Quick Facts

NPI
1245975226
Type
Individual
Enumerated
May 3, 2022
Last Updated
May 11, 2022

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