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NPI Code Detail

MEDICARE: LORRIE BALL NP

MEDICARE: LORRIE BALL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN112017GA

General Provider Information

NPI Number : 1144982430
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRIE BALL NP
Provider Business Mailing Address
First Line : 6228 BRADLEY PARK DR STE A
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3605
Country : US
Telephone Number : 706-322-1486
Fax Number : 706-324-3419
Provider Business Practice Location Address
First Line : 6228 BRADLEY PARK DR STE A
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3605
Country : US
Telephone Number : 706-322-1486
Fax Number : 706-324-3419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2021
Last Update Date : 10/13/2021

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Directions to “ LORRIE BALL NP” Practice Location

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