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Mrs. Amy M. Ballard, PA
Surgical Physician Assistant in Tupelo, Mississippi
NPI 1528153558

Amy M. Ballard is a Surgical Physician Assistant based in Tupelo, MS and is specialized in Surgical. Amy M. Ballard practices in Tupelo, MS and has the professional credentials of PA. The NPI Number for Amy M. Ballard is 1528153558 and holds a License No. PA027 (Mississippi).

The current practice location address for Amy M. Ballard is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-7170 and via fax at 662-377-7180.

Location: 830 S Gloster St, Tupelo, MS, 38802-7062
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Provider Profile Details
NPI Number
1528153558
Provider Name
Amy M. Ballard
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
830 S Gloster St, Tupelo, MS, 38802-7062
Phone Number
662-377-7170
Fax Number
662-377-7180
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00126597 05 MS
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-7170
Fax Number
662-377-7180
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-7170
Fax Number
662-377-7180
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA027 (Mississippi)
Definition
Definition to come...
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