Individual provider · Type 1 NPI

Baleigh Ford, PA-C

Medical Physician Assistant · Vicksburg, MS

NPI number 1114387123 Active

Practice location

2080 S Frontage Rd, #100
Vicksburg, MS 39180-5328

Call (601) 262-1000 Map

Mailing address

499 Springridge Rd, Lot B1
Clinton, MS 39056-5600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00275 (MS)

Medical Physician Assistant: Definition to come...

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About NPI 1114387123

Baleigh Ford, PA-C's National Provider Identifier is 1114387123, issued on Mar 3, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 3, 2016.