Individual
DR. TASHA J FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8699
(901) 545-8998
Mailing address
842 JEFFERSON AVE, SUITE A645, MEMPHIS, TN 38103-2808
(901) 545-8699
(901) 545-8998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31431
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
31431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633676
—
TN
Enumeration date
07/28/2005
Last updated
05/13/2016
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