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Individual
CHARLES DAVIS FORD
Active
Individual
CHARLES DAVIS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38666
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898586
—
TN
01
—
4110535
BCBS
TN
01
—
P00255517
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
11/07/2007
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