NPI 1356880025

Randall Ballard

Practitioner Other Technician Atlanta, GA

Practice location

Address: 935 Marietta St NW 29, Atlanta, GA 30318-0527
Phone: (678) 663-8714

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Georgia →

Registry record

NPI: 1356880025
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2017
Record last updated: 14 Feb 2017

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.