Organization
FORTNER SURGICAL ASSISTING P.C.
Active
Organization
FORTNER SURGICAL ASSISTING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY ELIZABETH FORTNER NP (CEO)
(770) 533-3398
Entity
Organization
Contact information
Practice address
25 HEMLOCK SHOALS DR, DAWSONVILLE, GA 30534-0043
(770) 533-3398
Mailing address
25 HEMLOCK SHOALS DR, DAWSONVILLE, GA 30534-0043
(770) 533-3398
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154950905
—
GA
Enumeration date
12/20/2021
Last updated
12/20/2021
Update your record
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