Provider Demographics
NPI:1366444218
Name:BALL, JOY KENDRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:KENDRICK
Last Name:BALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4501 CAMERON VALLEY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4298
Mailing Address - Country:US
Mailing Address - Phone:704-367-7400
Mailing Address - Fax:704-384-7830
Practice Address - Street 1:1315 EAST BLVD STE 280
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5793
Practice Address - Country:US
Practice Address - Phone:704-384-1866
Practice Address - Fax:704-384-1867
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2023-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200500603208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901655Medicaid
NCI37310Medicare UPIN