Individual provider · Type 1 NPI

Michael F. Ballard, IDC

Independent Duty Corpsman · Millington, TN

NPI number 1356311518 Active

Practice location

5722 Integrity Dr, Bldg S771
Millington, TN 38054-5028

Call (901) 874-6100 Map

Mailing address

7698 Kiowa St
Millington, TN 38053-3248

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1356311518

Michael F. Ballard, IDC's National Provider Identifier is 1356311518, issued on Jan 23, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Millington, TN. The record was last updated on Jul 13, 2026.