Dwight Ballard, MSW

NPI 1992968630 · on the registry since 2008 · sole proprietor

Practice

Address: 3201 Trenholm Road
Columbia, SC 29204
Phone: (803) 782-1421
Organisation at this address: Epworth Children'S Home
Carolina Children'S Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-02

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 South Carolina