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NPI Code Detail

MEDICARE: ANDREW HUNTER FORD MD

MEDICARE:   ANDREW HUNTER FORD  MD
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
1207Y00000XOtolaryngology PhysicianMD31430TN
2207Y00000XOtolaryngology PhysicianMD.37387AL

General Provider Information

NPI Number : 1164411963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HUNTER FORD MD
Provider Business Mailing Address
First Line : 1722 PINE ST STE 503
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-1160
Country : US
Telephone Number : 334-293-8736
Fax Number : 334-293-8738
Provider Business Practice Location Address
First Line : 1111 OLIVE ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106
Country : US
Telephone Number : 334-834-7221
Fax Number : 334-241-9848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 02/26/2020

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