Fordham, Casey Lee

Fordham, Casey Lee is an individual health care provider with primary practice located at 1504 Hardeman Ave , Macon GA 31201-1416. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is his primary health care specialty. Fordham, Casey Lee can be contacted via phone (478) 745-3135.

Contact Information

Primary practice address
1504 Hardeman Ave Macon GA 31201-1416
Phone: (478) 745-3135
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 347107
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X 347107

Profile Details

NPI number 1114077401
LBN Legal business name Fordham, Casey Lee
Credentials R MR
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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