Organization
BLUE RIDGE EAR, NOSE AND THROAT, INC.
Active
Other names
Charles W. Ford, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W FORD JR. M.D. (PRESIDENT)
(828) 264-4545
Entity
Organization
Contact information
Practice address
870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
(828) 264-4545
(828) 264-3279
Mailing address
870 STATE FARM RD, SUITE 101, BOONE, NC 28607-4861
(828) 264-4545
(828) 264-3279
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
009400056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8932979
—
NC
Enumeration date
05/03/2007
Last updated
07/12/2023
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