Individual
MRS. BROOKS P FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, LD
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 545-1658
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 545-1658
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2133
AL
Other
Enumeration date
09/13/2011
Last updated
12/07/2023
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