Individual
YAKEIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 RIVEREDGE PKWY, SANDY SPRINGS, GA 30328-4693
(931) 302-5985
Mailing address
2100 RIVEREDGE PKWY, SANDY SPRINGS, GA 30328-4693
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN232732
GA
363LG0600X
Gerontology Nurse Practitioner
RN232732
GA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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