Ford, Grace Susie

Ford, Grace Susie is an individual health care provider with primary practice located at 2424 Double Churches Rd , Columbus GA 31909-2741. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ford, Grace Susie can be contacted via phone (706) 326-3301.

Contact Information

Primary practice address
2424 Double Churches Rd Columbus GA 31909-2741
Phone: (706) 326-3301
Fax: (706) 327-7592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP000323 Georgia

Profile Details

NPI number 1912024035
LBN Legal business name Ford, Grace Susie
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912024035 NPPES
Georgia MEDICAID 344464474A
Georgia Other 52265958

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