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1194788869
JAMES FORTENBERRY
BROOKHAVEN, GA
NPI
1194788869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics Pediatric Critical Care Medicine
(Licence: GA 35875)
Enumeration Date
2006-04-11
Last Update Date
2022-06-06
Business Address
JAMES FORTENBERRY MD
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-1313
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Mailing Address
JAMES FORTENBERRY MD
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone number: 404-785-1313
Copy
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