Individual provider · Type 1 NPI
Deborah Ware Fordham, PA-C
Medical Physician Assistant · Dublin, GA
NPI number
1679654693
Active
Practice location
1826 Veterans Boulevard, Carl Vinson Va Medical Center
Dublin, GA 31021
Mailing address
RR 1 Box 60-1, 1127 Rebie Road
Chester, GA 31012-9538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 002877 (GA) |
Medical Physician Assistant: Definition to come...
About NPI 1679654693
Deborah Ware Fordham, PA-C's National Provider Identifier is 1679654693, issued on Oct 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dublin, GA. The record was last updated on Jul 9, 2007.