Individual
KRISTI DENISE FORD-SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6012
(864) 560-6013
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32907
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
32907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329077
—
SC
01
—
SC10746067
MEDICARE PIN
SC
01
—
SC10746084
MEDDICARE PIN
SC
01
—
SC1074H888
MEDICARE PIN
SC
01
—
SC1074J577
MEDICARE PIN
SC
Enumeration date
06/23/2010
Last updated
04/20/2023
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