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Tonya Fowler Fordham, DO
Family Medicine Physician in Baxley, Georgia
NPI 1861462053

Tonya Fowler Fordham is a Family Medicine Physician based in Baxley, GA. Tonya Fowler Fordham practices in Baxley, GA and has the professional credentials of DO. The NPI Number for Tonya Fowler Fordham is 1861462053 and holds a License No. 049292 (Georgia).

The current practice location address for Tonya Fowler Fordham is 18 Luckie St, Baxley, GA and can be reached out via phone at 912-366-1362 and via fax at 912-366-1365.

Location: 18 Luckie St, Baxley, GA, 31513-0358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861462053
Provider Name
Tonya Fowler Fordham
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
18 Luckie St, Baxley, GA, 31513-0358
Phone Number
912-366-1362
Fax Number
912-366-1365
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100442 01 BCBS
00947273A 05 GA
institution
Provider Business Practice Location Address Details
Address
18 Luckie St
City
Baxley
State
Georgia
Zip
31513-0358
Phone Number
912-366-1362
Fax Number
912-366-1365
person
Provider Business Mailing Address Details
Address
18 Luckie St
City
Baxley
State
Georgia
Zip
31513-0358
Phone Number
912-366-1362
Fax Number
912-366-1365
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
049292 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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