Individual
SAMUEL EDMOND FORD
Active
Individual
SAMUEL EDMOND FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2020-00102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316357940
—
NC
05
—
NC4198
—
SC
Enumeration date
05/05/2014
Last updated
08/10/2020
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