Zackary Fordham, MD

NPI 1265589089 · on the registry since 2007

Practice

Address: 4500 13th St
Gulfport, MS 39502
Phone: (601) 672-3173
Organisation at this address: Boles Llc
Etas, Pllc
Caredoc Llc
Care Doc Llc
Care Doc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 261

Registry record

Primary taxonomy: 207P00000X
207P00000X
Also registered as: 207P00000X
207P00000X
Licence states on file: AL, MS, ME
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi