Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 4696 | AL |
NPI | 1215151444 |
---|---|
Provider Name | Dr. Margaret Ashley Ford |
First Address | Calera, AL 35040-0149 |
Second Address | Calera, AL 35040-7209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |