Individual
CALLIE ELIZABETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 475-6700
Mailing address
1116 ALCOTT CT, RALEIGH, NC 27609-6043
(919) 986-1195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11745
NC
Other
Enumeration date
06/25/2021
Last updated
03/25/2024
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