MICHAEL BALLARD, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1356311518

Practice Address

5722 INTEGRITY DR
BLDG S771
Millington, TN 38054

Phone: (901) 874-6100

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1356311518 is the National Provider Identifier for MICHAEL BALLARD, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Millington, TN. This NPI was enumerated on January 23, 2006.
MICHAEL BALLARD, IDC practices at 5722 INTEGRITY DR, BLDG S771, Millington, TN 38054.

Quick Facts

NPI
1356311518
Type
Individual
Enumerated
Jan 23, 2006
Last Updated
Jul 8, 2007

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