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NPI Code Detail

MEDICARE: JOY P FORD PA-C

MEDICARE:   JOY P FORD  PA-C
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
1363A00000XPhysician Assistant1020WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194717603
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY P FORD PA-C
Provider Business Mailing Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-3709
Fax Number :
Provider Business Practice Location Address
First Line : 5870 WEBSTER RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9105
Country : US
Telephone Number : 304-872-3709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 03/27/2023

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Directions to “ JOY P FORD PA-C” Practice Location

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