| Michael A. Ballard, Md Inc. | |
|
13135 E Adams Rd Hammond LA 70403-2123 | |
| (225) 294-7872 | |
| (225) 294-7872 |
| Full Name | Michael A. Ballard, Md Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 13135 E Adams Rd, Hammond, Louisiana |
| Authorized Official Name and Position | Michael Anthony Ballard (OWNER) |
| Authorized Official Contact | 2252947872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Ballard, Md Inc. Po Box 727 Ponchatoula LA 70454-0727 Ph: (225) 294-7872 | Michael A. Ballard, Md Inc. 13135 E Adams Rd Hammond LA 70403-2123 Ph: (225) 294-7872 |
| NPI Number | 1962533604 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962533604 | NPI | - | NPPES |
| 1929247 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD.09071R (Louisiana) | Primary |
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