NPI 1023329976

Jedidiah Amos Ballard, DO

Practitioner Emergency Medicine Physician Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0004
Phone: (706) 724-6100
Mailing address: 1499 Walton Way Suite 1400, Augusta, GA 30901-2603

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence DO-05225 (IA)

Other Emergency Medicine providers in Georgia →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 19065 (MT)

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 074216 (GA)

Registry record

NPI: 1023329976
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2010
Record last updated: 1 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.