Individual
DANIEL FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Mailing address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(770) 424-9732
(770) 421-0228
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
89203
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
P7911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329610501
—
TX
Enumeration date
08/05/2006
Last updated
09/09/2021
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