Ballard Jackson Mann, P.A.

NPI #1942580048 in Baker, Louisiana

Provider Information

NPI Number: 1942580048
Entity Type: Individual
Name: Ballard Jackson Mann, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 19, 2011
Last Updated: Jan 22, 2021

Practice Location

Address: 6516 E MYRTLE AVE
City: Baker
State: Louisiana
ZIP Code: 70714-4348
Phone: (225) 774-7320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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