Individual
SAMUEL FOOSE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.I.S
Contact information
Practice address
3491 BLUECUTT RD STE 7, COLUMBUS, MS 39705-1343
(662) 327-3422
(662) 327-3421
Mailing address
3491 BLUECUTT RD STE 7, COLUMBUS, MS 39705-1343
(662) 327-3422
(662) 327-3421
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA0560
MS
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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