Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TONYA FOWLER FORDHAM, D.O.

Active Sole Proprietor

TONYA FOWLER FORDHAM, D.O. is a Family Medicine healthcare provider located in BAXLEY, Georgia. NPI 1861462053 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BAXLEY, GA

Registration Details

NPI Number: 1861462053
Provider Type: Individual
Gender: Female
NPI Issued: Jan 23, 2006 (20.53232681308 yrs)
Last Updated: Dec 21, 2021
License: 049292 (GA)
Sole Proprietor: Yes

Practice Information

Address: 18 LUCKIE ST

STE F

BAXLEY, GA, 315130358
Browse GA providers · Browse ZIP 31513
Phone: 9123661362
Fax: 9123661365
Primary Specialty: Family Medicine
207Q00000X

Other Family Medicine Providers in BAXLEY, GA

Name	Credential	NPI
KEVIN O. KEOWN	M.D.	1083606800
DR. EVELYN J JOHNSON	M.D.	1780645788
DR. LEONARD F HOWARD	MD	1841227923

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.