| Deananne D Fordham, PAC | |
|
109 S 3rd St, Cochran, GA 31014-6718 | |
| (478) 934-4988 | |
| (478) 934-4989 |
| Full Name | Deananne D Fordham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 109 S 3rd St, Cochran, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215904446 | NPI | - | NPPES |
| 100001203A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003393 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Deananne D Fordham, PAC 109 S 3rd St, Cochran, GA 31014-6718 Ph: (478) 934-4988 | Deananne D Fordham, PAC 109 S 3rd St, Cochran, GA 31014-6718 Ph: (478) 934-4988 |
Bobby Joel Shedd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 179 W Dykes St, Cochran, GA 31014 Phone: 478-934-8200 | |
Jacob Lunsford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 109 S 3rd St, Cochran, GA 31014 Phone: 478-934-4988 Fax: 478-934-4989 |