| Fortner Medical Clinic, Llc | |
|
222 S Main St Reidsville GA 30453-4602 | |
| (912) 394-1002 | |
| Not Available |
| Full Name | Fortner Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 222 S Main St, Reidsville, Georgia |
| Authorized Official Name and Position | Gregory L Fortner (CEO) |
| Authorized Official Contact | 9123941002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortner Medical Clinic, Llc 222 S Main St Reidsville GA 30453-4602 Ph: (912) 394-1002 | Fortner Medical Clinic, Llc 222 S Main St Reidsville GA 30453-4602 Ph: (912) 394-1002 |
| NPI Number | 1710350863 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710350863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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