Individual
BENJAMIN ROBERT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CALLEN BLVD STE 330, SUMMERVILLE, SC 29486-2816
(854) 529-3001
(843) 606-8113
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52505
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525051
—
SC
Enumeration date
06/24/2013
Last updated
09/23/2025
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