James Fortenberry in Brookhaven - Pediatric Critical Care Medicine
James Fortenberry - NPI 1194788869
James Fortenberry is a Pediatric Critical Care Medicine in Brookhaven, Georgia. James Fortenberry practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for James Fortenberry is 1194788869. The last update date is 2022-06-06.
James Fortenberry's current location address is 1575 Northeast Expy Ne, Brookhaven, Georgia. You can contact this provider via phone number 4047851313 and fax number 4047856233. The mailing address for James Fortenberry is 1575 Northeast Expy Ne, Brookhaven, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Fortenberry |
|---|---|
| Address | 1575 Northeast Expy Ne, Brookhaven, Georgia |
| Phone Number | 4047851313 |
| Fax Number | 4047856233 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194788869 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2022-06-06 |
Provider Mailing Address Detail
| Address | 1575 Northeast Expy Ne |
|---|---|
| City | Brookhaven |
| State | Georgia (GA) |
| Post Code | 303292401 |
| Phone Number | 4047851313 |
| Fax Number | 4047856233 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 35875 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Post Comment/ Review Below
What is the James Fortenberry's 1194788869?
The James Fortenberry's NPI (National Provider Identifier) Number is 1194788869. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where James Fortenberry is physically located?
The James Fortenberry is physically situated at the following address: 1575 Northeast Expy Ne, Brookhaven, GA, 303292401.
What is James Fortenberry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Fortenberry is Pediatric Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0203X.
On what date did the James Fortenberry receive its 1194788869 assignment from the Centers for Medicare & Medicaid Services?
The James Fortenberry was assigned its 1194788869 by the Centers for Medicare & Medicaid Services on 2006-04-11.
As of what date was the information regarding James Fortenberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James Fortenberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-06-06.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC