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Search › Mississippi › 225200000X

Charles Ballard, PTA4382

NPI 1942466172 · on the registry since 2008

Practice

Address
702 Highway 82 W Ste B
Greenwood, MS 38930
Phone
(662) 455-5010
Fax
(662) 455-5468
Organisation at this address
Advanced Rehabilitation, Llc
Family Dental Associates Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-07

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