Organization
ENT ASSOCIATES OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FORTSON MD (MD)
(404) 768-9350
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVENUE, EASTPOINT, GA 30344
(404) 768-9350
Mailing address
1136 CLEVELAND AVE, ATLANTA, GA 30344-3618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AG0915134
GA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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