Individual
DR. VIRGINA W FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D, RN, CS, FNP
Contact information
Practice address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7533
Mailing address
635 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14807
RN LICENSE NUMBER
SC
Enumeration date
10/23/2006
Last updated
07/08/2007
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