Organization
FORD CLINIC, INC
Active
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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