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Gary H Ballard, NP
Family Nurse Practitioner in East Ridge, Tennessee
NPI 1720022395

Gary H Ballard is a Family Nurse Practitioner based in Soddy Daisy, TN and is specialized in Family. Gary H Ballard practices in East Ridge, TN and has the professional credentials of NP. The NPI Number for Gary H Ballard is 1720022395 and holds a License No. RN0000063398 (Tennessee).

The current practice location address for Gary H Ballard is 403 Mcbrien Rd, East Ridge, TN and can be reached out via phone at 423-894-3589 and via fax at 423-892-3378.

Location: 403 Mcbrien Rd, East Ridge, TN, 37379-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720022395
Provider Name
Gary H Ballard
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
403 Mcbrien Rd, East Ridge, TN, 37379-5700
Phone Number
423-894-3589
Fax Number
423-892-3378
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
403 Mcbrien Rd
City
East Ridge
State
Tennessee
Zip
37412-3223
Phone Number
423-894-3589
Fax Number
423-892-3378
person
Provider Business Mailing Address Details
Address
403 Mcbrien Rd
City
East Ridge
State
Tennessee
Zip
37412-3223
Phone Number
423-894-3589
Fax Number
423-892-3378
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN0000063398 (Tennessee)
Definition
Definition to come...
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