IndividualActive
Baleigh Ford, PA-C
NPI 1114387123 · Medical Physician Assistant · Vicksburg, MS
Provider details
- NPI number
- 1114387123
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA00275 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2080 S Frontage Rd
#100
Vicksburg, MS 39180-5328
Phone: (601) 262-1000
Approximate (ZIP-level) locationGet directions
Mailing address
499 Springridge Rd
Clinton, MS 39056-5600
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.