MRS. DEBORAH WARE FORDHAM


Address: 1826 Veterans Boulevard, Carl Vinson Va Medical Center, Dublin, GA 31021
Phone: 4782721210

MRS. DEBORAH WARE FORDHAM (NPI# 1679654693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679654693
Entity Type Individual
Full Name MRS. DEBORAH WARE FORDHAM
Credential PA-C
Practice Address 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
Practice Telephone 4782721210
Mailing Telephone 4783584370
Enumeration Date 2006-10-17
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
002877 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA PA-C NUMBER 002877 01
NATIONAL NCCPA NUMBER 1032004 01

Other Providers DEBORAH FORDHAM

NPI Name Taxonomy Address Enumeration
1831433507 Deborah A Fordham Physical Therapy Assistant 359 Jones Rd, Falmouth, MA 02540-3341 2012-11-19

Office Location

Street Address 1826 VETERANS BOULEVARD
CARL VINSON VA MEDICAL CENTER
City DUBLIN
State GA
Zip Code 31021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
1902384811 Nieka Jackson Pharmacist 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 2018-08-02
1407341522 Empower Psychiatry & Weight Loss, LLC Nurse Practitioner 112 Rowe St Ste B, Dublin, GA 31021 2018-06-30
1619462207 Kara Emily Frost Speech-Language Pathologist 1406 Bellevue Rd, Dublin, GA 31021 2018-06-26
1376035410 Owens Speech Services, LLC Speech-Language Pathologist 401 Barfield Court, Dublin, GA 31021 2018-06-05
1558878884 Tattnall Hospital Company, LLC Neurological Surgery 242 Industrial Blvd, Dublin, GA 31021 2018-01-09
1376991000 Eatonton Facility Development Company, LLC Hospice, Inpatient 155 Greensboro Rd, Eatonton, GA 31021 2016-06-03
1801261177 Jones Community Health Center, LLC Clinic/Center 115 Shadow Pond, Dublin, GA 31021 2015-12-11
1508237561 Cancer Center of Middle Georgia Specialist 26 Erin Office Park, Dublin, GA 31021 2015-10-15
1922477249 Mickey Jackson Non-emergency Medical Transport (VAN) 610 John Robinson Tl., Dublin, GA 31021 2015-09-16
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023497989 Jeffrey William Blitz Physician Assistant 7698 Scioto Crossing Blvd, Dublin, OH 43016-7660 2015-05-26
1629026117 Lana K Lott Physician Assistant 102 Fairview Park Dr, Dublin, GA 31021-2500 2006-05-05
1588629802 Patricia Kelly Bush Physician Assistant 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 2006-04-19
1023647450 Amanda Mcguffin Physician Assistant 5945 Sawmill Rd, Dublin, OH 43017-1623 2020-04-07
1497188619 Sharon D Tiernan-lang Physician Assistant 5701 8th St, Dublin, CA 94568-3305 2013-08-12
1760754683 Kelly Johnson Bumgarner Physician Assistant 5720 Blazer Pkwy, Dublin, OH 43017-3566 2012-02-08
1821251034 Dean Winslow Parsons Physician Assistant 6905 Hospital Dr Ste 130, Dublin, OH 43016-9600 2008-07-08
1568491215 Julie M Molina Physician Assistant 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 2006-07-02
1093742140 Jeffrey Robert Fisher Physician Assistant 6905 Hospital Dr, Suite 130, Dublin, OH 43016-9600 2006-06-26
1891741575 Dublin Emergency Physicians LLC Physician Assistant 200 Industrial Blvd, Dublin, GA 31021-2981 2006-05-25
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Competitor

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City DUBLIN
Zip Code 31021

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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