William Camp Fortson, MD | |
6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 | |
(762) 408-3385 | |
Not Available |
Full Name | William Camp Fortson |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336124049 | NPI | - | NPPES |
202I106995 | Other | GA | MEDICARE PTAN |
000328688 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 23598 (Georgia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 023598 (Georgia) | Primary |
Entity Name | St Francis Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
Mailing Address | Practice Location Address |
---|---|
William Camp Fortson, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3385 | William Camp Fortson, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3385 |
Dr. John Phillip Byers, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 065-874-1427 | |
Luke Sly, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3402 |