| Doctor Name: | MRS. CHERYL S FORD |
| NPI Number: | 1720385206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 55698333 |
| Business Practice Address: | 4745 Poplar Ave Suite 312 Memphis, TN - 381174430 |
| Business Phone Number: | 9018644637 |
| Business Fax Number: | 9013793530 |
| Mailing Address: | 9330 Jayne Lewis Cv, MEMPHIS |
| State: | TN |
| Postal Code: | 381330962 |
| Phone Number: | 9018282670 |
| Fax Number: | 9013793530 |
| NPI Enumeration Date: | 02/18/2011 |
| NPI Last Update Date: | 02/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | 55698333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |