Individual provider · Type 1 NPI
Tonika M. Ballard
Driver · Douglasville, GA
NPI number
1457071425
Active
Practice location
4165 Clarks Trl
Douglasville, GA 30135-8686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | 04199017 (GA) |
| Driver | 172A00000X | None listed |
| Driver Primary | 172A00000X | 041990117 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1457071425
Tonika M. Ballard's National Provider Identifier is 1457071425, issued on Aug 30, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Douglasville, GA. The record was last updated on Aug 30, 2022.