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Contact Information

ZACKARY FORDHAM, MD
4500 13TH ST
GULFPORT, MS39502
 Phone: 601-672-3173
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ZACKARY FORDHAM · (Male)

NPI Number 1265589089
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 28369
  • ME License # MD18034
  • MS License # 21091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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