Individual
JUSTIN G. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-4789
(404) 459-1838
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101248777
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
67565
GA
Other
Enumeration date
05/08/2007
Last updated
05/16/2019
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