Organization
MIDDLE GA FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINA J FORDHAM (MANAGER)
(478) 220-5444
Entity
Organization
Contact information
Practice address
1085 PLAZA AVE STE A, EASTMAN, GA 31023-9102
(478) 220-5444
(478) 559-1073
Mailing address
1085 PLAZA AVE STE A, EASTMAN, GA 31023-9102
(478) 220-5444
(478) 559-1073
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
03/17/2026
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