Organization
DOCTORS OF COMPASSIONATE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JULIAN FORDHAM (VP)
(912) 366-1362
Entity
Organization
Contact information
Practice address
277 LACKAWANNA ST, BAXLEY, GA 31513
(912) 366-1362
(912) 366-1365
Mailing address
277 LACKAWANNA ST, BAXLEY, GA 31513-8072
(912) 366-1362
(912) 366-1365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049292
GA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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