NPI 1457071425

Tonika M Ballard

Practitioner Driver Douglasville, GA

Practice location

Address: 4165 Clarks Trl, Douglasville, GA 30135-8686
Phone: (404) 484-5261

Registered specialties (3)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 041990117 (GA)

Other Driver providers in Georgia →

Driver

Other Service Providers Taxonomy 172A00000X Licence 04199017 (GA)

Driver

Other Service Providers Taxonomy 172A00000X

Registry record

NPI: 1457071425
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2022
Record last updated: 30 Aug 2022

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.