MR. Jack Lee Sorg, MD

NPI #1407941131 in Conyers, Georgia

Provider Information

NPI Number: 1407941131
Entity Type: Individual
Name: MR. Jack Lee Sorg, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Oct 4, 2006
Last Updated: Jan 29, 2014

Practice Location

Address: 1301 WELL BROOK CIRCLE
City: Conyers
State: Georgia
ZIP Code: 30012-3873
Phone: (770) 922-3023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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