Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLY J BALLARD, PA-C
ActiveSALLY J BALLARD, PA-C is a Medical Physician Assistant healthcare provider located in GOREVILLE, Illinois. NPI 1720288756 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GOREVILLE, IL
Registration Details
- NPI Number
- 1720288756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2007 (19.052428201251 yrs)
- Last Updated
- Nov 12, 2007
Practice Information
- Address
-
200 S BROADWAYGOREVILLE, IL, 62939Browse IL providers · Browse ZIP 62939
- Phone
- 6189952396
- Fax
- 6189952947
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.