Provider Demographics
NPI:1235809302
Name:WARD, FAMECIA
Entity Type:Individual
Prefix:
First Name:FAMECIA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 WHISPERING PINES CIR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2231
Mailing Address - Country:US
Mailing Address - Phone:229-444-7145
Mailing Address - Fax:
Practice Address - Street 1:2407 WHISPERING PINES CIR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2231
Practice Address - Country:US
Practice Address - Phone:229-444-7145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)