Ford, William Chester

Ford, William Chester is an individual health care provider with primary practice located at 11973 Augusta Rd , Lavonia GA 30553-1283. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ford, William Chester can be contacted via phone (706) 356-8181.

Contact Information

Primary practice address
11973 Augusta Rd Lavonia GA 30553-1283
Phone: (706) 356-8181
Fax: (706) 356-8081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN144697 Georgia

Profile Details

NPI number 1124006200
LBN Legal business name Ford, William Chester
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 8th, 2010 - about 14 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 1124006200 NPPES
Georgia MEDICAID 346968043A

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