Tonya Fowler Fordham, D.O.

NPI #1861462053 in Baxley, Georgia

Provider Information

NPI Number
1861462053
Entity Type
Individual
Name
Tonya Fowler Fordham, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Jan 23, 2006
Last Updated
Dec 21, 2021

Practice Location

Address
18 LUCKIE ST
Address 2
STE F
City
Baxley
State
Georgia
ZIP Code
31513-0358
Phone
(912) 366-1362

Specialties & Taxonomy Codes

Specialty
Family Medicine

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