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NPI 1609832229

NPI 1609832229 : GREGORY N BALL MD : CHATTANOOGA, TN

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General NPI Number Information
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    NPI Number           |    1609832229
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    Entity Type          |    Individual 
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    Provider Name        |    GREGORY N BALL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/22/2006
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    Last Update Date     |    10/30/2024
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Provider Practice Location Address
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    Address Line         |    2000 STEIN DR 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37421-7217
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    Country              |    US
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    Telephone            |    423-648-8480
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    Fax                  |    423-648-8481
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Provider Business Mailing Address
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    Address Line         |    PO BOX 197517 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37219-7517
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    Country              |    US
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    Telephone            |    423-648-8480
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    Fax                  |    423-648-8481
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    046733
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    000026097
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    26097
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    License Number State |    TN
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