GARRETT CLYDE BALLO Military Provider
Individual Provider (NPI-1)
Active
Military Health Care Provider, Independent Duty Corpsman
Provider Information
- NPI Number
1386315695- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Military Provider
- Status
- Active
Contact & Location
- Address
- 116 MOSS CREEK DR, JACKSONVILLE, NC, 285403231
- Phone
- (805) 305-1868
Specialties & Taxonomies
Military Health Care Provider, Independent Duty Corpsman
Primary
All Addresses
MAILING
610 LOOP RD
SNEADS FERRY, NC, 28460