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Organization

FORD CLINIC, INC

Active
Other names
Northeast Georgia Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE FORD NP-C (OFFICE MANAGER)
(706) 245-7380
Entity
Organization

Contact information

Practice address
11973 AUGUSTA RD, LAVONIA, GA 30553-1283
(706) 356-8181
(706) 356-8081
Mailing address
24 HARTWELL ST, ROYSTON, GA 30662-4213
(706) 245-7380
(706) 245-6726

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
261QP3300X
Pain Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132982
SC
05
85001253G
GA
Enumeration date
01/06/2006
Last updated
09/11/2025
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