Individual
DR. PETER LAWRENCE FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 WEAVER RD STE B, BLAIRSVILLE, GA 30512-3155
(706) 835-3699
Mailing address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-2111
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
90203
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
90203
GA
Other
Enumeration date
08/22/2005
Last updated
09/11/2024
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