Provider Demographics
NPI:1053944462
Name:FORD, ANDREA CHRISTINE (L AC)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:CHRISTINE
Last Name:FORD
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 IRIS LN
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:NC
Mailing Address - Zip Code:28789-7761
Mailing Address - Country:US
Mailing Address - Phone:828-586-6336
Mailing Address - Fax:
Practice Address - Street 1:42 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2726
Practice Address - Country:US
Practice Address - Phone:828-586-6336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC052171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist