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Contact Information

TIMOTHY FORD, PA-C
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV25309-1311
 Phone: 304-766-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY FORD · (Male)

NPI # 1750709226
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/02/2014
Last updated 04/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 00429
Hospital affiliation(s)
  • THOMAS MEMORIAL HOSPITAL - (Acute Care)
    4605 MACCORKLE AVE SW
    SOUTH CHARLESTON, WV 25309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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