Individual
JAMES MILTON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BROAD ST, WRENS, GA 30833-1185
(706) 547-2559
(706) 547-0729
Mailing address
501 BROAD ST, WRENS, GA 30833-1185
(706) 547-2559
(706) 547-0729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00189945A
—
GA
Enumeration date
07/08/2005
Last updated
06/18/2009
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