Organization
THOMAS B FORD MD AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE RHODES (OFFICE MANAGER)
(337) 310-0440
Entity
Organization
Contact information
Practice address
4150 NELSON RD, BLDG. G, STE 1, LAKE CHARLES, LA 70605-4148
(337) 310-0440
(337) 310-0444
Mailing address
4150 NELSON RD, BLDG. G, STE 1, LAKE CHARLES, LA 70605-4148
(337) 310-0440
(337) 310-0444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
014735
LA
Other
Enumeration date
02/22/2008
Last updated
08/03/2010
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