Individual
PETER FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 PROVIDENCE RD, SUITE 209, CHARLOTTE, NC 28226-2952
(704) 544-7535
Mailing address
7800 PROVIDENCE RD, SUITE 209, CHARLOTTE, NC 28226-2952
(704) 544-7535
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2005-00635
NC
Other
Enumeration date
05/03/2007
Last updated
01/20/2016
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