IndividualActive
Richard Ballard, M.D.
NPI 1366739054 · Interventional Cardiology Physician · Tupelo, MS
Provider details
- NPI number
- 1366739054
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22430 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801
Phone: (662) 620-6800
Fax: (662) 620-6950
Approximate (ZIP-level) locationGet directions
Mailing address
499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801-4749
Additional practice locations (1)
- 499 Gloster Creek Vlg Ste A2Tupelo, MS 38801Phone: (662) 620-6800Fax: (662) 620-6950
Registry dates
- Enumerated
- 2011-07-01
- Last updated
- 2018-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.