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NPI Code Detail

MEDICARE: DR. ANDREW MARCUS BALL PT, DPT, PHD

MEDICARE: DR. ANDREW MARCUS BALL PT, DPT, PHD
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
1225100000XPhysical Therapist5937NC

General Provider Information

NPI Number : 1730156001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW MARCUS BALL PT, DPT, PHD
Provider Business Mailing Address
First Line : PO BOX 601791
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1791
Country : US
Telephone Number : 704-384-5520
Fax Number : 704-316-1848
Provider Business Practice Location Address
First Line : 10305 HAMPTONS PARK DR STE 101
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7221
Country : US
Telephone Number : 704-384-5520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2006
Last Update Date : 02/18/2025

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