FORTNER MEDICAL CLINIC LLC NPI 1710350863

NPI Information

NPI: 1710350863
Provider Name: FORTNER MEDICAL CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
222 S MAIN ST
REIDSVILLE, GA
ZIP 30453
Phone: (912) 394-1002
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FORTNER MEDICAL CLINIC, LLC is a family medicine in Reidsville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FORTNER MEDICAL CLINIC, LLC NPI is 1710350863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 S MAIN ST
REIDSVILLE, GA
ZIP 30453-602
Phone: (912) 394-1002

The provider's authorized official is Gregory L Fortner .
The authorized official title is Ceo and has the following contact phone number (912) 394-1002.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 11/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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