Mr William Chester Ford Jr, NP-C | |
11973 Augusta Rd, Lavonia, GA 30553-1283 | |
(706) 356-8181 | |
(706) 356-8081 |
Full Name | Mr William Chester Ford Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 11973 Augusta Rd, Lavonia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124006200 | NPI | - | NPPES |
346968043A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN144697 (Georgia) | Primary |
Entity Name | Athens Heart Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447338744 PECOS PAC ID: 0244134583 Enrollment ID: O20031120000014 |
Mailing Address | Practice Location Address |
---|---|
Mr William Chester Ford Jr, NP-C 172 Tanglewood S, Royston, GA 30662-3799 Ph: (706) 356-8181 | Mr William Chester Ford Jr, NP-C 11973 Augusta Rd, Lavonia, GA 30553-1283 Ph: (706) 356-8181 |
Kari Tatum, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 177 Alderman Ln, Lavonia, GA 30553 Phone: 678-209-7523 | |
Christie Rae Crump, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30503 Phone: 770-219-7078 Fax: 770-219-7365 | |
Victoria Lynn Jordan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 Fax: 706-356-1457 | |
Amy Beth Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Natalie Ann Chambers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Ruth L Tellano-daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 |