BLAKE DARBY BALLARD
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1437820974- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1462 CLIFTON RD NE STE 280, ATLANTA, GA, 303221063
- Phone
- (404) 727-7825
Specialties & Taxonomies
Physician Assistant
Primary License: GA #11576
Physician Assistant, Surgical
License: GA #11576