Individual
MR. GEORGE DORTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12100 FAIRWAY OVERLOOK, FAYETTEVILLE, GA 30215-6607
(678) 522-9124
Mailing address
12100 FAIRWAY OVERLOOK, FAYETTEVILLE, GA 30215-6607
(678) 522-9124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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