Individual
WILLIAM CAMP FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-3385
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-3385
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
023598
GA
207RG0100X
Gastroenterology Physician
23598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000328688
—
GA
01
—
202I106995
MEDICARE PTAN
GA
Enumeration date
12/14/2005
Last updated
01/03/2024
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