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Organization
JERALD M. FORD, M.D., PSC
Active
Organization
JERALD M. FORD, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD M FORD M.D. (PRESIDENT)
(606) 325-1200
Entity
Organization
Contact information
Practice address
617 23RD ST, SUITE 415, ASHLAND, KY 41101-2880
(606) 325-1200
(606) 324-9348
Mailing address
PO BOX 2527, ASHLAND, KY 41105-2527
(606) 325-1200
(606) 324-9348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15865
KY
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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