Individual
BETTE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7688
(770) 921-4492
Mailing address
2979 SILVER HILL TER SE, ATLANTA, GA 30316-6715
(229) 221-5500
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
86303
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/07/2014
Last updated
11/19/2020
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