JUSTIN CHASE FORD

GADSDEN, AL
NPI1164971404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: AL  1-136145)
Enumeration Date2016-09-28
Last Update Date2016-11-03
Business Address
JUSTIN CHASE FORD CRNP
300 MEDICAL CENTER DR STE 303
GADSDEN, AL 35903-1136
Phone number: 256-458-0899
Mailing Address
JUSTIN CHASE FORD CRNP
300 MEDICAL CENTER DR STE 303
GADSDEN, AL 35903-1136
Phone number: 256-458-0899