NPI 1356311518
Michael F Ballard, IDC
Practice location
- Address
- 5722 Integrity Dr Bldg S771, Millington, TN 38054-5028
- Phone
- (901) 874-6100
- Mailing address
- 7698 Kiowa St, Millington, TN 38053-3248
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1356311518
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jan 2006
- Record last updated
- 13 Jul 2026
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.