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Individual

SHARON FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
215 PERRY HILL ROAD, MONTGOMERY, AL 36109
(334) 315-0638
Mailing address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-115518
AL

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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