Individual
MS. AMY LYNN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DRIVE CB #7160, CHAPEL HILL, NC 27516
(984) 974-3971
(984) 974-3448
Mailing address
101 MANNING DR # 7160, CHAPEL HILL, NC 27514-4220
(984) 974-3971
(984) 974-3448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8102985
MEDICAID
NC
Enumeration date
11/08/2010
Last updated
05/08/2021
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