Michael J. Ballard, MS ATC, PES

NPI #1093937401 in Clover, South Carolina

Provider Information

NPI Number
1093937401
Entity Type
Individual
Name
Michael J. Ballard, MS ATC, PES
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS ATC, PES
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1625 HIGHWAY 55 E
City
Clover
ZIP Code
29710-8551
Phone
(803) 222-4591

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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