Individual
DR. DONALD L FORDHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-8811
(706) 754-8822
Mailing address
PO BOX 308, DEMOREST, GA 30535-0308
(706) 754-8811
(706) 754-8822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044718
GA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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