Individual
GREGORY SETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2560 BUSINESS PARK DR NE, CLEVELAND, TN 37311-6503
(423) 472-5401
(423) 479-3060
Mailing address
2560 BUSINESS PARK DR NE, CLEVELAND, TN 37311-6503
(423) 472-5401
(423) 479-3060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513421
—
TN
01
—
3041753
MEDICARE PTAN
TN
Enumeration date
03/12/2007
Last updated
11/30/2010
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