Individual
MICHAEL T. FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
572 HANK AARON DR SE STE 3200, ATLANTA, GA 30312-2896
(678) 631-3722
Mailing address
572 HANK AARON DR SE STE 3200, ATLANTA, GA 30312-2896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051
GA
207Q00000X
Family Medicine Physician
MD2020-0323
NM
Other
Enumeration date
10/24/2005
Last updated
01/23/2025
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