Kevin M. Ballard, P.A.

NPI #1225317365 in Marietta, Georgia

Provider Information

NPI Number: 1225317365
Entity Type: Individual
Name: Kevin M. Ballard, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 8, 2011
Last Updated: Mar 10, 2017

Practice Location

Address: 790 CHURCH ST NE
Address 2: SUITE 400
City: Marietta
State: Georgia
ZIP Code: 30060-7282
Phone: (770) 952-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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