Individual
DWAYNE VALENTINO FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Mailing address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23098
SC
Other
Enumeration date
07/30/2019
Last updated
07/01/2024
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