TIMOTHY FORD

SOUTH CHARLESTON, WV
NPI1750709226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: WV  00429)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
TIMOTHY FORD PA-C
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-766-3600
Mailing Address
TIMOTHY FORD PA-C
11157 CHARLESTON RD
RED HOUSE, WV 25168
Phone number: 304-550-1343
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