Fortner Medical Clinic, LLC

NPI #1710350863 in Reidsville, Georgia

Provider Information

NPI Number
1710350863
Entity Type
Organization
Organization Name
Fortner Medical Clinic, LLC
Primary Specialty
Family Medicine
Enumeration Date
Nov 10, 2015
Last Updated
Nov 10, 2015

Practice Location

Address
222 S MAIN ST
State
Georgia
ZIP Code
30453-4602
Phone
(912) 394-1002

Authorized Official

Name
GREGORY L FORTNER, MD
Title
CEO
Phone
(912) 394-1002

Specialties & Taxonomy Codes

Specialty
Family Medicine

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