Individual
BILLY DOUGLAS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
113 MAIN STREET, MEADVILLE, MS 39653
(601) 384-1898
Mailing address
P.O. BOX 783, MEADVILLE, MS 39653
(601) 384-1898
(601) 384-1878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3880
MS
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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