Ballard, Thomas Victor

Ballard, Thomas Victor is an individual health care provider with primary practice located at 406 Memorial Drive Ext , Greer SC 29651-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ballard, Thomas Victor can be contacted via phone (864) 877-9066.

Contact Information

Primary practice address
406 Memorial Drive Ext Greer SC 29651-1818
Phone: (864) 877-9066
Fax: (864) 848-3291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8371 South Carolina

Profile Details

NPI number 1932170826
LBN Legal business name Ballard, Thomas Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932170826 NPPES
South Carolina MEDICAID 083714
South Carolina Other P00116904

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