Individual
VIRGINIA RUTLEDGE FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3131 MAPLE DR NE, SUITE102, ATLANTA, GA 30305-2515
(404) 816-7900
(404) 816-7929
Mailing address
PO BOX 52226, ATLANTA, GA 30355-0226
(404) 816-7900
(404) 816-7929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044218
GA
207N00000X
Dermatology Physician
044218
GA
207NS0135X
Procedural Dermatology Physician
044218
GA
Other
Enumeration date
06/01/2005
Last updated
05/07/2009
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