Individual
BALEIGH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 S FRONTAGE RD, #100, VICKSBURG, MS 39180-5328
(601) 262-1000
Mailing address
499 SPRINGRIDGE RD, LOT B1, CLINTON, MS 39056-5600
(601) 319-0685
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00275
MS
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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