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Individual

CAROLINE MARCIA FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2400 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 323-6211
(859) 323-1315
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013552
KY
363LF0000X
Family Nurse Practitioner
95014524
CA
363LF0000X
Family Nurse Practitioner
RN311106
GA

Other

Enumeration date
06/11/2020
Last updated
11/13/2024
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