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Cleo J Ballard
Driver in Saint Stephen, South Carolina
NPI 1205568029

Cleo J Ballard is a Driver based in Saint Stephen, SC. Cleo J Ballard practices in Saint Stephen, SC. The NPI Number for Cleo J Ballard is 1205568029 and holds a License No. 007568645 (South Carolina).

The current practice location address for Cleo J Ballard is 3314 N Highway 52, Saint Stephen, SC and can be reached out via phone at 678-543-4006.

Location: 3314 N Highway 52, Saint Stephen, SC, 29479-3322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205568029
Provider Name
Cleo J Ballard
Credential
Provider Entity Type
Individual
Gender
Male
Address
3314 N Highway 52, Saint Stephen, SC, 29479-3322
Phone Number
678-543-4006
Fax Number
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3314 N Highway 52
City
Saint Stephen
State
South Carolina
Zip
29479-3322
Phone Number
678-543-4006
Fax Number
person
Provider Business Mailing Address Details
Address
3314 N Highway 52
City
Saint Stephen
State
South Carolina
Zip
29479-3322
Phone Number
678-543-4006
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
007568645 (South Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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