Lawrence-Ford, Theresa A B

Lawrence-Ford, Theresa A B is an individual health care provider with primary practice located at 600 Professional Dr Suite 260, Lawrenceville GA 30046-7651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Lawrence-Ford, Theresa A B can be contacted via phone (770) 822-1090.

Contact Information

Primary practice address
600 Professional Dr Suite 260 Lawrenceville GA 30046-7651
Phone: (770) 822-1090
Fax: (770) 513-9735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 021326 Georgia

Profile Details

NPI number 1619935624
LBN Legal business name Lawrence-Ford, Theresa A B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jun 25th, 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 1619935624 NPPES
Georgia MEDICAID 00228148B

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