JACK LEE SORG

CONYERS, GA
NPI1407941131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: GA  016434)
Enumeration Date2006-10-04
Last Update Date2014-01-29
Business Address
Mr. JACK LEE SORG MD
1301 WELL BROOK CIRCLE
CONYERS, GA 30012-3873
Phone number: 770-922-3023
Mailing Address
Mr. JACK LEE SORG MD
1301 WELLBROOK CIRCLE NE
CONYERS, GA 30012-3873
Phone number: 770-922-3023