NPI 1194476655 · live from the CMS NPI Registry
Erika Ballard
Registered Nurse, General Practice in Villa Rica, GA. National Provider Identifier 1194476655, active.
NPI record
| NPI | 1194476655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 220 Wentworth Cir, Villa Rica, GA 30180 |
| Practice phone | 267-666-4753 |
| Enumerated | January 15, 2022 |
| Last updated | January 15, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | RN25167 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.