Individual
MR. GEORGE A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 31B, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 31B, JOHNSON CITY, TN 37604-6089
(423) 431-4946
(423) 431-4947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52555
TN
2080P0205X
Pediatric Endocrinology Physician
Primary
52555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750525713
—
VA
05
—
7100432280
—
KY
05
—
Q013984
—
TN
Enumeration date
04/21/2009
Last updated
02/04/2021
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