Astacio-Ford, Fatima

Astacio-Ford, Fatima is an individual health care provider with primary practice located at 150 Medical Blvd Suite B, Stockbridge GA 30281-5053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Astacio-Ford, Fatima can be contacted via phone (770) 389-9944.

Contact Information

Primary practice address
150 Medical Blvd Suite B Stockbridge GA 30281-5053
Phone: (770) 389-9944
Fax: (770) 389-1973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 046351 Georgia

Profile Details

NPI number 1740272707
LBN Legal business name Astacio-Ford, Fatima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740272707 NPPES
Other 782115 FEP/BLUE CROSS BLUE SHIEL
Other 2264533 FEP/BLUE CROSS BLUE SHIEL
Other 7561053 FEP/BLUE CROSS BLUE SHIEL
Other 782115 FEP/BLUE CROSS BLUE SHIEL

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