MR. Burley Walter Ball JR.

NPI #1285240523 in Coeburn, Virginia

Provider Information

NPI Number: 1285240523
Entity Type: Individual
Name: MR. Burley Walter Ball JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 4313 BUCKINGHAM RD
City: Coeburn
State: Virginia
ZIP Code: 24230
Phone: (276) 395-1323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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