Dwight Ballard's National Provider Identifier (NPI) Details
Dwight Ballard, MSW
NPI: 1992968630
Enumeration Date: 2008-07-02
Last updated: 2008-07-02
Sole Proprietor: YES
Status: active
Postal Address: 1357 GOFFMAN ROAD, EASTOVER, SC
Phone: 803-782-1421
Primary Practice Address: 3201 TRENHOLM ROAD, COLUMBIA, SC
Practice's phone: 803-782-1421