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Austin John Fordham, MD
Student in an Organized Health Care Education/Training Program in Lumberton, North Carolina
NPI 1619615085

Austin John Fordham is a Student in an Organized Health Care Education/Training Program based in Lumberton, NC. Austin John Fordham practices in Lumberton, NC and has the professional credentials of MD. The NPI Number for Austin John Fordham is 1619615085 and holds a License No. (North Carolina).

The current practice location address for Austin John Fordham is 300 W 27Th St, Lumberton, NC and can be reached out via phone at 910-671-5000.

Location: 300 W 27Th St, Lumberton, NC, 28358-3075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619615085
Provider Name
Austin John Fordham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 W 27Th St, Lumberton, NC, 28358-3075
Phone Number
910-671-5000
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 W 27Th St
City
Lumberton
State
North Carolina
Zip
28358-3075
Phone Number
910-671-5000
Fax Number
person
Provider Business Mailing Address Details
Address
300 W 27Th St
City
Lumberton
State
North Carolina
Zip
28358-3075
Phone Number
910-671-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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