Individual
DR. CHARLES W FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
(828) 264-4545
(282) 264-4544
Mailing address
870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
(828) 264-4545
(282) 264-4544
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
94-00056
NC
207YX0602X
Otolaryngic Allergy Physician
94-00056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8932979
—
NC
Enumeration date
03/22/2006
Last updated
03/12/2014
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