Healthcare Provider Details

I. General information

NPI: 1366444218
Provider Name (Legal Business Name): JOY KENDRICK BALL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 CAMERON VALLEY PKWY STE 100
CHARLOTTE NC
28211-4298
US

IV. Provider business mailing address

4501 CAMERON VALLEY PKWY STE 100
CHARLOTTE NC
28211-4298
US

V. Phone/Fax

Practice location:
  • Phone: 704-367-7400
  • Fax: 704-384-7830
Mailing address:
  • Phone: 704-367-7400
  • Fax: 704-384-7830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200500603
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: