Organization
VASCULAR SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FREDERICK FORD MD (PRESIDENT)
(704) 544-7535
Entity
Organization
Contact information
Practice address
7800 PROVIDENCE RD, SUITE 209, CHARLOTTE, NC 28226-2986
(704) 544-7535
(704) 544-7570
Mailing address
7800 PROVIDENCE RD, SUITE 209, CHARLOTTE, NC 28226-2986
(704) 544-7535
(704) 544-7570
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182328
—
SC
01
—
330004500
RAILROAD MEDICARE
NC
01
—
76713
BCBS NC
NC
05
—
8976713
—
NC
Enumeration date
06/22/2006
Last updated
12/24/2020
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