Provider Demographics
NPI:1710276340
Name:BALL, ROBERT THOMSON JR (MD MPH FACP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THOMSON
Last Name:BALL
Suffix:JR
Gender:M
Credentials:MD MPH FACP
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Mailing Address - Street 1:4050 BRIDGE VIEW DRIVE #600
Mailing Address - Street 2:SC DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROL (DHEC)
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-7464
Mailing Address - Country:US
Mailing Address - Phone:843-953-0042
Mailing Address - Fax:843-953-0051
Practice Address - Street 1:4050 BRIDGE VIEW DRIVE
Practice Address - Street 2:#600- SC DHEC
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-7464
Practice Address - Country:US
Practice Address - Phone:843-953-0042
Practice Address - Fax:843-953-0051
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
SCSC 7420207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAB6451998OtherDEA