Mr Jack Lee Sorg, MD | |
1301 Well Brook Circle, Conyers, GA 30012-3873 | |
(770) 922-3023 | |
(770) 929-1016 |
Full Name | Mr Jack Lee Sorg |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1301 Well Brook Circle, Conyers, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407941131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 016434 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Mr Jack Lee Sorg, MD 1301 Wellbrook Circle Ne, Conyers, GA 30012-3873 Ph: (770) 922-3023 | Mr Jack Lee Sorg, MD 1301 Well Brook Circle, Conyers, GA 30012-3873 Ph: (770) 922-3023 |
Mary Jane B Kassam, MD General Practice Medicare: Medicare Enrolled Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653 | |
Dr. Jackson L Gates, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1880 Lancaster Drive, Conyers, GA 30013 Phone: 678-591-6509 |