Individual
DR. EVERETT RUSSELL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-1110
(540) 689-1119
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803
(540) 689-1110
(540) 689-1119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639164783
—
VA
Enumeration date
09/14/2005
Last updated
08/28/2019
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