Michael J. Ballard, MS ATC, PES
Individual provider Active NPI Athletic Trainer · Clover, SC
NPI 1093937401 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093937401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 181 (SC)
- Practice address
- 1625 Highway 55 E
Clover, SC 29710-8551 - Phone
- (803) 222-4591
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181 | SC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 181 | SC | Yes |
Addresses
Primary practice location
1625 Highway 55 E
Clover, SC 29710-8551
Mailing address
1405 Whirlaway CT
York, SC 29745-6700
Phone (803) 684-7850
Other providers in Clover, SC
- Hussam Ahmed
- Davida Akins
- Raquel S Avore
- Jessica Rae Babb-Wright
- Back 2 Your Roots, PLLC
- Evelyn Barkaway
- Wendy Ann Behr
- Benchmark Healthcare Services
- Blue World, Inc.
- Erin Ashley Bolin
All providers in Clover, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.