Individual
MRS. ERICA MICHELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1403 S KING ST, WINDSOR, NC 27983-9666
(252) 426-5711
(252) 426-1999
Mailing address
1403 S KING ST, WINDSOR, NC 27983-9666
(252) 794-6775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103784
UNITED HEALTHCARE
—
Enumeration date
08/25/2005
Last updated
01/21/2022
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