Doctors of Compassionate Services
Organization Active NPI Family Medicine Physician · Baxley, GA
NPI 1821378076 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1821378076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 049292 (GA)
- Legal business name
- DOCTORS OF COMPASSIONATE SERVICES
- Practice address
- 277 Lackawanna St
Baxley, GA 31513 - Phone
- (912) 366-1362
- Fax
- (912) 366-1365
- NPI assigned
- Aug 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Patrick Julian Fordham
- Title
- VP
- Phone
- (912) 366-1362
Practitioners 3
-
Tonya Fowler Fordham, D.O.
-
Jeanette Lynn Hale, FNP-C
-
Tekisha Jones, FNP
National Provider Directory
Locations
18 Luckie St
Baxley, GA 31513
18 Luckie St
Ste F
Baxley, GA 31513
Phone (912) 366-1362
Interoperability endpoints
- https://api.platform.athenahealth.com/11298/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 049292 | GA | Yes |
Addresses
Primary practice location
277 Lackawanna St
Baxley, GA 31513
Mailing address
277 Lackawanna St
Baxley, GA 31513-8072
Phone (912) 366-1362
Other providers in Baxley, GA
- Kimberly Ann Davis
- Amanda Nicole Deen
- Deeper Waters Emdr
- Dental Center of Baxley
- Ray Ashley Dixon
- Robert D Drawdy
- Dva Renal Healthcare Inc
- E Buford Kesler Dba
- East Georgia Healthcare Center Inc
- Melina Edmund
All providers in Baxley, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.