Search › Mississippi › 104100000X
Tina Ballard
NPI 1750591376 · on the registry since 2007
Practice
- Address
- 252 S Veterans Blvd
Tupelo, MS 38804 - Phone
- (662) 840-3008
- Fax
- (662) 841-3007
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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