Organization
FORTNER MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L FORTNER MD (CEO)
(912) 394-1002
Entity
Organization
Contact information
Practice address
222 S MAIN ST, REIDSVILLE, GA 30453-4602
(912) 394-1002
Mailing address
222 S MAIN ST, REIDSVILLE, GA 30453-4602
(912) 394-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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