Individual provider · Type 1 NPI

Cleo J. Ballard

Driver · St. Stephen, SC

NPI number 1205568029 Active

Practice location

3314 N Highway 52
St. Stephen, SC 29479-3322

Call (678) 543-4006 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X007568645 (SC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1205568029

Cleo J. Ballard's National Provider Identifier is 1205568029, issued on Jun 29, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in St. Stephen, SC. The record was last updated on Jun 29, 2022.