DEANANNE D FORDHAM

EASTMAN, GA
NPI1215904446
Former NameDEANANNE DEES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  003393)
Enumeration Date2006-03-07
Last Update Date2007-07-09
Business Address
-- DEANANNE D FORDHAM PAC
1223 PLAZA AVE
EASTMAN, GA 31023-6763
Phone number: 478-374-3814
Mailing Address
-- DEANANNE D FORDHAM PAC
RR 1 BOX 60
CHESTER, GA 31012-9501
Phone number: 478-358-9436
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