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Ballard Lander Smith
Student in an Organized Health Care Education/Training Program in Pike Road, Alabama
NPI 1467847087

Ballard Lander Smith is a Student in an Organized Health Care Education/Training Program based in Pike Road, AL. Ballard Lander Smith practices in Pike Road, AL. The NPI Number for Ballard Lander Smith is 1467847087 and holds a License No. S10769 (Alabama).

The current practice location address for Ballard Lander Smith is 24 Boardwalk, Pike Road, AL and can be reached out via phone at 334-590-4072.

Location: 24 Boardwalk, Pike Road, AL, 36064-3837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467847087
Provider Name
Ballard Lander Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
24 Boardwalk, Pike Road, AL, 36064-3837
Phone Number
334-590-4072
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Boardwalk
City
Pike Road
State
Alabama
Zip
36064-3837
Phone Number
334-590-4072
Fax Number
person
Provider Business Mailing Address Details
Address
24 Boardwalk
City
Pike Road
State
Alabama
Zip
36064-3837
Phone Number
334-590-4072
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S10769 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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