Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CASEY LEE FORDHAM, R MR
ActiveMR. CASEY LEE FORDHAM, R MR is a 2471M1202X healthcare provider located in MACON, Georgia. NPI 1114077401 is currently active in the NPPES registry. Verify at CMS.
2471M1202X · MACON, GA
Registration Details
- NPI Number
- 1114077401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2007 (19.606830874773 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
347107347107
Practice Information
- Address
-
1504 HARDEMAN AVEMACON, GA, 312011416Browse GA providers · Browse ZIP 31201
- Phone
- 4787453135
- Primary Specialty
-
2471M1202X
2471M1202X
- Additional Specialty
- 2471M1202X
Other 2471M1202X Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| JUDY LYNN COOPER | R ,MR | 1275544652 |
| CHRISTOPHER SHANNON HARRIS | R, MR | 1568473957 |
| JASON EDWARD WILDER | R, MR | 1922019355 |
| DAVID L BURDETT | RT, MR | 1821101783 |
| RUSSELL SCOTT GIBSON | MR | 1538479043 |
| ASHLEY DANIELLE RADFORD | RT (R) (CT) (MR) | 1679812432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.