JEAN M FORTGANG

NORCROSS, GA
NPI1609926187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN113594 NP)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- JEAN M FORTGANG NP
3720 DAVINCI CT
NORCROSS, GA 30092-7627
Phone number: 770-582-3838
Mailing Address
-- JEAN M FORTGANG NP
5145 MCINTOSH DR
CUMMING, GA 30040-9680
Phone number: 770-582-3838
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