# BLUE RIDGE EAR, NOSE AND THROAT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles W. Ford, M.D., P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285846493
- **Authorized official:** DR. CHARLES W FORD JR. M.D. (PRESIDENT)
- **Authorized official phone:** (828) 264-4545

## Contact information

- **Practice address:** 870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
- **Practice address phone:** (828) 264-4545
- **Practice address fax:** (828) 264-3279
- **Mailing address:** 870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
- **Mailing address phone:** (828) 264-4545
- **Mailing address fax:** (828) 264-3279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 009400056 | NC | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/12/2023