Individual provider · Type 1 NPI
Deananne D. Fordham, PAC
Medical Physician Assistant · Cochran, GA
NPI number
1215904446
Active
Practice location
109 S 3rd St
Cochran, GA 31014-6718
Fax (478) 934-4989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 003393 (GA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1215904446
Deananne D. Fordham, PAC's National Provider Identifier is 1215904446, issued on Mar 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cochran, GA. The record was last updated on Jan 14, 2026.