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Individual

MS. DEBRA M FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3776 WESTCHASE DR, MARIETTA, GA 30066-2580
(706) 513-0158
Mailing address
3776 WESTCHASE DR, MARIETTA, GA 30066-2580
(706) 513-0158

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
129135
GA
163WG0000X
General Practice Registered Nurse
Primary
129135
GA
163WH0200X
Home Health Registered Nurse
RN129135
GA
163WH1000X
Hospice Registered Nurse
129135
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
129135
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
129135
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
129135
GA

Other

Enumeration date
05/06/2025
Last updated
06/15/2025
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