| Organization Name: | LINDA D. FORD, M.D.P.C. |
| NPI Number: | 1639335763 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA DIANNE FORD (PRESIDENT) |
| Mailing Address: | 939 Bob Arnold Blvd Suite A Lithia Springs |
| State: | GA US |
| Postal Code: | 301223258 |
| Phone Number: | 7709449852 |
| Fax Number: | 7709441043 |
| NPI Enumeration Date: | 07/29/2008 |
| NPI Last Update Date: | 07/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 017051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |