Most Relevant Information
Provider Data
| NPI Number: | 1003428574 |
| Provider Name: | GREGORY RAYMON FORD |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9480288 |
Most Important Dates
| Enumeration Date: | 08/17/2020 |
| Last Updated: | 08/17/2020 |
Provider Practice Location
2702 SCHAUL ST
COLUMBUS
GA
319062123
Practice Location Phone/Fax
| Phone: | 7066412441 |
| Fax: |
Provider Mailing Location
5188 CARTER WAY
DOUGLASVILLE
GA
301357170
Provider Mailing Phone/Fax
| Phone: | 9044457228 |
| Fax: |