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Individual

ESTHER W. FORTINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5764 PEACHTREE INDUSTRIAL BLVD, CHAMBLEE, GA 30341-1908
(866) 389-2727
Mailing address
5764 PEACHTREE INDUSTRIAL BLVD, CHAMBLEE, GA 30341-1908

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN184609
GA

Other

Enumeration date
06/03/2015
Last updated
03/17/2018
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