Organization
MT. ZION COMMUNITY REINVESTMENT CORPORATION
Active
Other names
Samaritan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA S FORTSON APRN (EXECUTIVE DIRECTOR)
(770) 330-8496
Entity
Organization
Contact information
Practice address
802 N JEFFERSON ST, ALBANY, GA 31701-2363
(229) 888-7420
(229) 888-7421
Mailing address
802 N JEFFERSON ST, ALBANY, GA 31701-2363
(229) 888-7420
(229) 888-7421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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