Individual
DR. MILLICENT BOOKER FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2933 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4001
(336) 794-3380
(336) 794-3378
Mailing address
1701 WESTCHESTER DR STE 850, HIGH POINT, NC 27262-7254
(336) 702-2007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200401028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89138AX
—
NC
Enumeration date
07/14/2006
Last updated
09/06/2018
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