Individual
CHARLES STEPHEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1814 WESTCHESTER DR, SUITE 401, HIGH POINT, NC 27262-7299
(336) 802-2080
(336) 802-2081
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130022347
RR MEDICARE
NC
05
—
8932991
—
NC
Enumeration date
07/19/2006
Last updated
07/07/2009
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