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Individual

MS. MARSHA DENISE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2719 FELTON DR STE A, EAST POINT, GA 30344-3603
(404) 349-2112
(404) 767-6533
Mailing address
1310 ELVA DR SW, ATLANTA, GA 30331-7326
(404) 349-2112
(404) 767-6533

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN066207
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000596296C
GA
05
000596296G
GA
Enumeration date
01/02/2007
Last updated
07/08/2007
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