Taylor Ballard, D.O.
Surgery, Pediatric Surgery in Greenville, SC. Individual provider (NPI-1).
NPI number1487185252
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1487185252
- Entity type
- Individual (NPI-1)
- Name
- Taylor Ballard
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 96878 | SC | Yes |
| 2086S0120X | Surgery, Pediatric Surgery | 28480 | MS |
Other names
- Taylor Shaw (Former Name)
Practice location
48 Cross Park CtGreenville, SC 29605-4263
Phone 864-522-8603
Mailing address
300 E Mcbee Ave Ste 300Greenville, SC 29601-2899
Phone 864-522-8603
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 601-815-1292 · Fax 601-984-5110
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