MRS. Amy M. Ballard, P.A.
NPI #1528153558 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1528153558
- Entity Type
- Individual
- Name
- MRS. Amy M. Ballard, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- P.A.
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 830 S GLOSTER ST
- Address 2
- NMMC EAST TOWER THIRD FLOOR
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4934
- Phone
- (662) 377-7170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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