Garrett Clyde Ballo, MILITARY PROVIDER
NPI #1386315695 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1386315695
- Entity Type
- Individual
- Name
- Garrett Clyde Ballo, MILITARY PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- MILITARY PROVIDER
- Enumeration Date
- Sep 26, 2021
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 116 MOSS CREEK DR
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28540-3231
- Phone
- (805) 305-1868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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