Individual provider · Type 1 NPI
Sally J. Ballard, PA-C
Medical Physician Assistant · Goreville, IL
NPI number
1720288756
Active
Practice location
200 S Broadway
Goreville, IL 62939
Fax (618) 995-2947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1720288756
Sally J. Ballard, PA-C's National Provider Identifier is 1720288756, issued on Jul 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Goreville, IL. The record was last updated on Nov 12, 2007.