Individual
CHARLES V FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
P O BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12603
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081543
—
AL
01
—
051501374
FED BCBS
AL
01
—
13091
HEALTHSPRING OF AL
AL
01
—
260009247
RR MEDICARE
AL
01
—
330500184
MEDICAID REHAB
AL
01
—
81543
BCBS OF AL
AL
Enumeration date
08/14/2006
Last updated
06/29/2023
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