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Individual

DR. KRISTINE AURA ORTEGA-FONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600
Mailing address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87451
GA
207Q00000X
Family Medicine Physician
MD.31401
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180293
AL
01
511-70128
BCBS
AL
Enumeration date
05/21/2012
Last updated
08/27/2021
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