Individual
CAMERON GRANT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
614 COUNTRY CLUB ROAD, WINSTON-SALEM, NC 27104
(336) 716-6099
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
11/05/2019
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