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Individual

MR. GREGORY RAYMON FORD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5188 CARTER WAY, DOUGLASVILLE, GA 30135-7170
(678) 230-4555
Mailing address
5188 CARTER WAY, DOUGLASVILLE, GA 30135-7170
(904) 445-7228

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9480288
FL
363L00000X
Nurse Practitioner
Primary
APRN-NP334093
GA

Other

Enumeration date
08/17/2020
Last updated
02/02/2026
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