Ford Clinic, Inc

NPI 1710965900 - Clinic/Center - 261QP2300X

NPI Details
NPI 1710965900
Enumeration Date 01/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICOLE NICOLE
Position OFFICE MANAGER
Phone (706) 356-8181
Fax (706) 356-8081
Practice Location
11973 AUGUSTA RD
LAVONIA GA, 30553-1283, US
Phone (706) 356-8181
Fax (706) 356-8081
Business Location
24 HARTWELL ST
ROYSTON GA, 30662-4213, US
Phone (706) 245-7380
Fax (706) 245-6726
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Ford Clinic, Inc NPI is 1710965900, taxonomy code is 261QP2300X Ford Clinic, Inc physically located at 11973 Augusta Rd, Lavonia GA, 30553-1283. NPI Number 1033115704 has the healthcare provider type.

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1710965900 NPI number is provided on an as is basis without warranty of any kind. 1710965900 is maintained by the National Plan & Provider Enumeration System. The contents of Ford Clinic, Inc are for informational purposes only.