DEAN FORDHAM

COLUMBUS, GA
NPI1942735287
Entity TypeOrganization
Authorized ContactTIFFANY T BYRD
Medical Director
706-442-1983
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  56623)
Enumeration Date2017-04-24
Last Update Date2017-04-24
Business Address
DEAN FORDHAM
6886 SHADYBROOK TRL
COLUMBUS, GA 31904-3802
Phone number: 706-682-0422
Mailing Address
DEAN FORDHAM
6886 SHADYBROOK TRL
COLUMBUS, GA 31904-3802
Phone number: 706-682-0422