Provider Demographics
NPI:1689735359
Name:BALL, WILLIAM ABNER (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ABNER
Last Name:BALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17020 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-7852
Mailing Address - Country:US
Mailing Address - Phone:229-226-3664
Mailing Address - Fax:229-226-9169
Practice Address - Street 1:17020 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31757-7852
Practice Address - Country:US
Practice Address - Phone:229-226-3664
Practice Address - Fax:229-226-9169
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA520 663 10OtherBLUE CROSS BLUE SHIELD
U-22184Medicare UPIN