Organization
APPALACHIA MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B FORD MD (OWNER)
(276) 565-2425
Entity
Organization
Contact information
Practice address
127 CALLAHAN AVE, APPALACHIA, VA 24216-1203
(276) 565-2425
Mailing address
127 CALLAHAN AVE, APPALACHIA, VA 24216-1203
(276) 565-2425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101020991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005639531
—
VA
05
—
64662299
—
KY
Enumeration date
08/05/2009
Last updated
08/25/2009
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