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1972237055
JENNIFER FORDHAM
MACON, GA
NPI
1972237055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN231473)
Enumeration Date
2022-07-13
Last Update Date
2022-08-25
Business Address
JENNIFER FORDHAM NP
575 1ST ST
MACON, GA 31201-2825
Phone number: 478-743-9762
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Mailing Address
JENNIFER FORDHAM NP
575 1ST ST
MACON, GA 31201-2825
Phone number: 478-743-9762
Copy
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