Healthcare Provider Details

I. General information

NPI: 1013070887
Provider Name (Legal Business Name): ANNE FORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 06/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5324 MACFARLAND DR SUITE 300 DUKE WOMENS HEALTH ASSOCIATES
DURHAM NC
27707
US

IV. Provider business mailing address

5324 MACFARLAND DR SUITE 300 DUKE WOMENS HEALTH ASSOCIATES
DURHAM NC
27707
US

V. Phone/Fax

Practice location:
  • Phone: 919-687-4688
  • Fax: 919-687-4606
Mailing address:
  • Phone: 919-687-4688
  • Fax: 919-687-4606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number98-00248
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: