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Individual

DR. MARSHA D FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2171
(704) 355-5736
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-2171
(704) 355-5736

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26526
NC
2085U0001X
Diagnostic Ultrasound Physician
26526
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164446852
NC
05
8932992
NC
Enumeration date
07/26/2006
Last updated
11/07/2014
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