Individual
ANDREW FORT GODFREY-KITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1415
(404) 778-1401
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-1415
(404) 778-1401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
004617
GA
208000000X
Pediatrics Physician
Primary
069199
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/07/2010
Last updated
02/08/2013
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