Individual
ELISABETH FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9411
(770) 514-7550
Mailing address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(770) 514-7550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007210
GA
Other
Enumeration date
05/15/2014
Last updated
12/04/2025
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