Individual
MR. CASEY LEE FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R MR
Contact information
Practice address
1504 HARDEMAN AVE, MACON, GA 31201-1416
(478) 745-3135
Mailing address
219 LAKE LILLIAN DR, PERRY, GA 31069-9789
(478) 988-9701
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
347107
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
347107
—
Other
Enumeration date
01/11/2007
Last updated
04/12/2026
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