Individual
MACY ELIZABETH FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 HEMLOCK SHOALS DR, DAWSONVILLE, GA 30534-0043
(770) 533-3398
Mailing address
25 HEMLOCK SHOALS DR, DAWSONVILLE, GA 30534-0043
(770) 533-3398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN277679
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN277679
GA
Other
Enumeration date
04/03/2020
Last updated
09/16/2021
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