Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9026 | TN |
N | 1223E0200X | Endodontist | 28682 | TX |
Y | 1223E0200X | Endodontist | DN016141 | GA |
NPI | 1154554442 |
---|---|
Provider Name | Dr. James Sandlin Ball |
First Address | Atlanta, GA 30338-5525 |
Second Address | Sandy Springs, GA 30350-5406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2009 |
Last Update Date | 06/02/2021 |