Cleo J Ballard

NPI #1205568029 in Saint Stephen, South Carolina

Provider Information

NPI Number: 1205568029
Entity Type: Individual
Name: Cleo J Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 29, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: 3314 N HIGHWAY 52
City: Saint Stephen
State: South Carolina
ZIP Code: 29479-3322
Phone: (678) 543-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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