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Individual

SCARLETT B FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-2227
(629) 255-4177
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2209
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2209
PA LICENSE
TN
Enumeration date
11/15/2012
Last updated
06/27/2019
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