SALLY BALLARD, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1720288756

Practice Address

200 S BROADWAY
Goreville, IL 62939

Phone: (618) 995-2396

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes -

Frequently Asked Questions

NPI 1720288756 is the National Provider Identifier for SALLY BALLARD, PA-C, a Physician Assistant - Medical provider located in Goreville, IL. This NPI was enumerated on July 18, 2007.
SALLY BALLARD, PA-C practices at 200 S BROADWAY, Goreville, IL 62939.

Quick Facts

NPI
1720288756
Type
Individual
Enumerated
Jul 18, 2007
Last Updated
Nov 12, 2007

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