Organization
JAMES K. FORTSON, M.D., P.C.
Active
Other names
ENT of South Atlanta
Organization subpart
No
Provider details
NPI number
Authorized official
PIA M BERKS (BILLING MANAGER)
(770) 378-2449
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 300, EAST POINT, GA 30344-3618
(404) 768-9350
(404) 768-2530
Mailing address
PO BOX 838, TUCKER, GA 30085-0838
(404) 768-9350
(404) 768-2530
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
043205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000738603J
—
GA
Enumeration date
01/24/2007
Last updated
01/03/2013
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