Individual
SIDNEY RAY FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8715 E OAK ISLAND DR, OAK ISLAND, NC 28465-8367
(910) 278-3316
(910) 278-1415
Mailing address
8715 E OAK ISLAND DR, OAK ISLAND, NC 28465-8367
(910) 278-3316
(910) 278-1415
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
13798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33170
BCBS IND PROV #
NC
05
—
8933170
—
NC
01
—
P00399761
RR MEDICARE
NC
Enumeration date
10/27/2005
Last updated
03/24/2008
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