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NPI Code Detail

MEDICARE: ALEX FORD

MEDICARE: ALEX FORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1144895608
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX FORD
Provider Business Mailing Address
First Line : 4231 WATERFORD VALLEY CIR APT 1017
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-3133
Country : US
Telephone Number : 980-800-4465
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LATROBE DR STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-5227
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 12/28/2025

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Directions to “ ALEX FORD ” Practice Location

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