GREGORY FORD

MOODY AFB, GA
NPI1376918656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  9112321)
Enumeration Date2015-12-11
Last Update Date2023-11-15
Business Address
GREGORY FORD PA-C
3278 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number: 229-257-5820
Mailing Address
GREGORY FORD PA-C
3278 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number: 229-257-5820
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