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Provider Information for 1871677658

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DAVID W FORD MD

Gender: MALE

Individual NPI: 1871677658

Calendar   Last Updated:  2016-04-05
  Certification Date: 

Details

Name Value
NPI 1871677658
Enumeration Date 2006-10-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 9239 MEDICAL PLAZA DR
CHARLESTON, SC 29406-9126
United States

Phone: 843-797-5151 | Fax: 843-572-6939
View Map External Link
Primary Practice Address 9239 MEDICAL PLAZA DR
CHARLESTON, SC 29406-9126
United States

Phone: 843-797-5151 | Fax: 843-572-6939
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID AR 131742001
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208600000X - Surgery SC 16865
No 208600000X - Surgery AR E1254
No 208600000X - Surgery TN 31917
No 208600000X - Surgery AR E-1254