Individual
DR. TERRY D. FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
639 HIGHWAY 528, BAY SPRINGS, MS 39422-4823
(601) 764-6848
Mailing address
PO BOX 329, BAY SPRINGS, MS 39422-0329
(601) 764-6848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12405
MS
Other
Enumeration date
07/12/2006
Last updated
04/20/2013
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