Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEANANNE D FORDHAM, PAC
ActiveDEANANNE D FORDHAM, PAC is a Medical Physician Assistant healthcare provider located in COCHRAN, Georgia. NPI 1215904446 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · COCHRAN, GA
Registration Details
- NPI Number
- 1215904446
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2006 (20.414567448158 yrs)
- Last Updated
- Jan 14, 2026
- License
-
003393 (GA)
Practice Information
- Address
-
109 S 3RD STCOCHRAN, GA, 310146718Browse GA providers · Browse ZIP 31014
- Phone
- 4789344988
- Fax
- 4789344989
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.