SearchMississippi208000000X

Wendy Ballenger, DO

NPI 1710111372 · on the registry since 2009 · sole proprietor

Practice

Address
7148 Kerr Street Place
Suite 110
Olive Branch, MS 38654
Phone
(662) 222-6724
Fax
(901) 350-5024

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
207R00000X
207R00000X
208000000X
Licence states on file
KY, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi