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Individual

JANICE E FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1451 HIGHWAY 21 SOUTH, SUITE H, SPRINGFIELD, GA 31329
(912) 754-1035
(912) 754-1037
Mailing address
PO BOX 818, SPRINGFIELD, GA 31329
(912) 754-1035
(912) 754-1037

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN057176
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000483788H
GA
Enumeration date
06/14/2006
Last updated
07/17/2012
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