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1942735287
DEAN FORDHAM
COLUMBUS, GA
NPI
1942735287
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Entity Type
Organization
Authorized Contact
TIFFANY T BYRD
Medical Director
706-442-1983
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 56623)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
DEAN FORDHAM
6886 SHADYBROOK TRL
COLUMBUS, GA 31904-3802
Phone number: 706-682-0422
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Mailing Address
DEAN FORDHAM
6886 SHADYBROOK TRL
COLUMBUS, GA 31904-3802
Phone number: 706-682-0422
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