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Individual
DR. TROY REED FORTIN
Active
Individual
DR. TROY REED FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO005857
GA
111NR0200X
Radiology Chiropractor
005857
GA
111NS0005X
Sports Physician Chiropractor
005857
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001296
BCBS
GA
Enumeration date
12/20/2006
Last updated
08/23/2016
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