Organization
FORTIER GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOSEPH FORTIER MD (MEMBER-MANAGER)
(919) 612-1102
Entity
Organization
Contact information
Practice address
2301 REXWOODS DR STE 114, RALEIGH, NC 27607-3366
(919) 916-3333
(984) 293-6615
Mailing address
321 HALES WOOD RD, CHAPEL HILL, NC 27517-7228
(919) 612-1102
(919) 914-6051
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
05/10/2023
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