Individual
ALBERT SHEDERICK FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 HOMESTEAD FARM CIR, HENDERSONVILLE, NC 28792-8208
(828) 687-8670
(828) 687-6293
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
37441
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9300699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32996
BCBS
NC
01
—
380001071
MEDICARE RAILROAD
NC
05
—
8932996
—
NC
Enumeration date
07/13/2005
Last updated
09/06/2023
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